Organization
GRAND LAKE MENTAL HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA COX (MIS/REIMBURSEMENT COORDINATOR)
(918) 273-1841
Entity
Organization
Contact information
Practice address
109 N FAIRLAND ST, PRYOR, OK 74361-4203
(918) 825-1405
(918) 825-1406
Mailing address
114 W DELAWARE AVE, NOWATA, OK 74048-2601
(918) 825-1405
(918) 825-1406
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100732860R
—
OK
Enumeration date
08/04/2006
Last updated
01/16/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up