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101 N Mccracken St Chouteau OK 74337-3219 | |
| (918) 373-9800 | |
| (918) 999-0109 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 101 N Mccracken St, Chouteau, 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 |
|---|---|
114 W Delaware Ave Nowata OK 74048-2601 Ph: (918) 273-1841 | 101 N Mccracken St Chouteau OK 74337-3219 Ph: (918) 373-9800 |
| NPI Number | 1750915187 |
|---|---|
| Provider Enumeration Date | 02/25/2020 |
| Last Update Date | 06/13/2022 |
| Certification Date | 06/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750915187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Behavioral Health Services Of Green Country Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 463 Sw 579 Loop Bldg B, Chouteau, OK 74337 Phone: 918-476-0501 | |
Mayes County Counseling And Resources Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 West Main, Chouteau, OK 74337 Phone: 918-476-4008 Fax: 918-476-0582 | |