| Grand Lake Medical Health Center | |
|
401 W Main St Barnsdall OK 74002 | |
| (918) 337-8080 | |
| (918) 337-8099 |
| Full Name | Grand Lake Medical Health Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 401 W Main St, Barnsdall, 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 Medical Health Center 114 W Delaware Ave Nowata OK 74048-2601 Ph: (918) 273-1841 | Grand Lake Medical Health Center 401 W Main St Barnsdall OK 74002 Ph: (918) 337-8080 |
| NPI Number | 1609249390 |
|---|---|
| Provider Enumeration Date | 11/04/2015 |
| Last Update Date | 07/31/2020 |
| Certification Date | 07/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609249390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Bigheart, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 254 County Road 2351, Barnsdall, OK 74002 Phone: 918-914-1327 | |
Grand Lake Mental Health Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 W Main St, Barnsdall, OK 74002 Phone: 918-847-3527 Fax: 918-777-9018 |