NPI 1063817021 GRAND LAKE MENTAL HEALTH CENTER, INC. NOWATA OK. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Grand Lake Mental Health Center, Inc. - NPI: 1063817021

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: GRAND LAKE MENTAL HEALTH CENTER, INC.
NPI Number: 1063817021
Entity Type Code: Organizational (2)
Authorized Official Name: CHARLES DANLEY
(CEO)
Mailing Address: 231 E Graham Ave
Pryor
State: OK US
Postal Code: 743612436
Phone Number: 9182731841
Fax Number:
NPI Enumeration Date: 11/03/2014
NPI Last Update Date: 11/03/2014
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 261QM0801X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
Y
State:
Taxonomy Type: Ambulatory Health Care Facilities
Taxonomy Classification: Clinic/Center
Taxonomy Specialization: Mental Health (Including Community Mental Health Center)
Taxonomy Definition:


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