Grand Mental Health | |
705 S Virginia Ave Bartlesville OK 74003-4439 | |
(918) 337-8080 | |
(918) 337-8099 |
Full Name | Grand Mental Health |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 705 S Virginia Ave, Bartlesville, 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) 337-8080 | Grand Mental Health 705 S Virginia Ave Bartlesville OK 74003-4439 Ph: (918) 337-8080 |
NPI Number | 1902813033 |
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Provider Enumeration Date | 08/02/2006 |
Last Update Date | 09/23/2024 |
Certification Date | 09/23/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902813033 | NPI | - | NPPES |
100732860I | 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: 1370 Se Washington Blvd, Bartlesville, OK 74006 Phone: 918-337-8080 | |
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Legatski And Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 E 6th St., Bartlesville, OK 74003 Phone: 918-336-2400 Fax: 918-336-2401 |