Grand Mental Health | |
191 N Highway 59 Kansas OK 74347-7607 | |
(918) 308-5518 | |
(918) 999-0112 |
Full Name | Grand Mental Health |
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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 Mental Health 114 W Delaware Ave Nowata OK 74048-2601 Ph: (918) 308-5518 | Grand Mental Health 191 N Highway 59 Kansas OK 74347-7607 Ph: (918) 308-5518 |
NPI Number | 1295084531 |
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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 Mental Health 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 Mental Health 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 | |
Keetoowah Cherokee Treatment Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 282 State Highway 10, Kansas, OK 74347 Phone: 918-708-9009 | |
Grand Mental Health 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 |