GRAND MENTAL HEALTH – NPI #1376173443
Clinic/Center

GRAND MENTAL HEALTH is an AHC clinic located in CHOUTEAU, OK. NPPES has assigned the NPI number 1376173443 to GRAND MENTAL HEALTH on January 17, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GRAND MENTAL HEALTH” is a dba name, the actual legal business name for this organization is GRAND LAKE MENTAL HEALTH CENTER, INC. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 4 years ago on Jun 13, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GRAND MENTAL HEALTH below.

NPI Profile for
GRAND LAKE MENTAL HEALTH CENTER, INC

NPI Number
1376173443
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GRAND LAKE MENTAL HEALTH CENTER, INC
Doing Business As (dba): GRAND MENTAL HEALTH
Primary location
101 N MCCRACKEN ST
CHOUTEAU, OK 74337-3219
Phone: (918) 373-9800 Fax: (918) 999-0109
Mailing address
114 W DELAWARE AVE
NOWATA, OK 74048-2601
Phone: (918) 273-1841 Fax:
Organization Subpart
No
Authorized Official
LARRY SMITH
CEO
Phone: (918) 273-1841
Updated
Certification Date
Jun 13, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.