| Grand Lake Mental Health Center Inc. | |
|
191 N Highway 59 Kansas OK 74347-7607 | |
| (918) 308-5518 | |
| (918) 999-0112 |
| Full Name | Grand Lake Mental Health Center Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 191 N Highway 59, Kansas, Oklahoma |
| Authorized Official Name and Position | Larry Smith (CEO) |
| Authorized Official Contact | 9182731841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Lake Mental Health Center Inc. 114 W Delaware Ave Nowata OK 74048-2601 Ph: (918) 308-5518 | Grand Lake Mental Health Center Inc. 191 N Highway 59 Kansas OK 74347-7607 Ph: (918) 308-5518 |
| NPI Number | 1295084531 |
|---|---|
| Provider Enumeration Date | 08/31/2012 |
| Last Update Date | 03/07/2024 |
| Certification Date | 03/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295084531 | NPI | - | NPPES |
| 100732860L | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Grand Lake Mental Health Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 N. Hwy 10 Ste D, Kansas, OK 74347 Phone: 918-901-9800 Fax: 918-999-0112 | |
Grand Lake Mental Health Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 N Highway 10, Suite A, Kansas, OK 74347 Phone: 918-308-5518 Fax: 918-999-0112 | |
Echota Behavioral Health Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 282 State Highway 10, Kansas, OK 74347 Phone: 918-708-9009 | |
Grand Lake Mental Health Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 N Hwy 10 Ste D, Kansas, OK 74347 Phone: 918-308-5518 Fax: 918-999-0112 |