| Grand Lake Medical Health Center | |
|
1115 S Harber Rd Grove OK 74344-7918 | |
| (918) 786-4434 | |
| Not Available |
| Full Name | Grand Lake Medical Health Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1115 S Harber Rd, Grove, 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 1115 S Harber Rd Grove OK 74344-7918 Ph: (918) 786-4434 |
| NPI Number | 1295145217 |
|---|---|
| Provider Enumeration Date | 04/29/2014 |
| Last Update Date | 07/31/2020 |
| Certification Date | 07/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295145217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Grand Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1115 Harbor Rd, Grove, OK 74344 Phone: 918-786-4434 Fax: 918-786-4435 | |
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Skm Solutions, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 E 1st St, Grove, OK 74344 Phone: 918-786-7111 Fax: 918-786-7116 | |
Grand Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1115 Harbor Rd, Grove, OK 74344 Phone: 918-786-4434 Fax: 918-786-4435 | |
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Grand Lake Mental Health Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Harber Rd, Grove, OK 74344 Phone: 918-786-4434 Fax: 918-786-4435 |