NPIMap

Organization Active NPI

Grand Lake Mental Health Center, Inc.

  • Case Management Agency
  • Bartlesville, OK
National Provider Identifier
1922017060
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
513 S Quapaw Ave
Bartlesville, OK 74003-4331
Phone
(918) 337-8080
Fax
(918) 337-8099
NPI assigned
Aug 7, 2006
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 23

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
Grand Lake Mental Health Center Inc (106 organizations share this tax ID)

Locations

513 S Quapaw Ave
Bartlesville, OK 74003

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

513 S Quapaw Ave
Bartlesville, OK 74003-4331

Mailing address

114 W Delaware Ave
Nowata, OK 74048-2601
Phone (918) 337-8080

Other names 1

NPPES NPI Registry
  • Grand Lake Mental Health Center, Inc. Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922017060",
    "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": "918-337-8080",
            "fax_number": "918-337-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 S QUAPAW AVE",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740034331",
            "telephone_number": "918-337-8080",
            "fax_number": "918-337-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND LAKE MENTAL HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "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.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bartlesville, 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.