GRAND LAKE MENTAL HEALTH CENTER, INC. – NPI #1679945927
Clinic/Center

GRAND LAKE MENTAL HEALTH CENTER, INC. is an AHC clinic located in STILWELL, OK. NPPES has assigned the NPI number 1679945927 to GRAND LAKE MENTAL HEALTH CENTER, INC. on October 27, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 8 years ago on Aug 01, 2018. 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 LAKE MENTAL HEALTH CENTER, INC. below.

NPI Profile for
GRAND LAKE MENTAL HEALTH CENTER, INC.

NPI Number
1679945927
Enumeration Date

(more than 10 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.
Primary location
106 W MAPLE ST
STILWELL, OK 74960
Phone: (918) 786-4434 Fax: (918) 786-4435
Mailing address
114 W DELAWARE AVE
NOWATA, OK 74048-2601
Phone: (918) 273-1841 Fax: (918) 273-1843
Organization Subpart
No
Authorized Official
CHARLES DANLEY
CEO
Phone: (918) 273-1841
Updated
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.