NPIMap

Organization Active NPI

Grand Lake Mental Health Center, Inc.

  • Case Management Agency
  • Grove, OK
National Provider Identifier
1669480299
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
GRAND LAKE MENTAL HEALTH CENTER, INC.
Practice address
1115 Harbor Rd.
Grove, OK 73444
Phone
(918) 786-4434
Fax
(918) 786-4435
NPI assigned
Aug 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rebecca Cox
Title
Mis/Reimbursement Coordinator
Phone
(918) 273-1841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1115 Harbor Rd.
Grove, OK 73444

Mailing address

114 W Delaware Ave
Nowata, OK 74048-2601
Phone (918) 786-4434

Other names 1

  • Grand Lake Mental Health Center, Inc.-Delaware County Other name

National Provider Directory

National Provider Directory
Tax ID family
Grand Lake Mental Health Center Inc108 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669480299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W DELAWARE AVE",
            "city": "NOWATA",
            "state": "OK",
            "postal_code": "740482601",
            "telephone_number": "918-786-4434",
            "fax_number": "918-786-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 HARBOR RD.",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "73444",
            "telephone_number": "918-786-4434",
            "fax_number": "918-786-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND LAKE MENTAL HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "MIS/REIMBURSEMENT COORDINATOR",
        "authorized_official_telephone_number": "918-273-1841"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Lake Mental Health Center, Inc.-Delaware County",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grove, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.