Healthcare Provider Details

I. General information

NPI: 1144615444
Provider Name (Legal Business Name): GCN HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2015
Last Update Date: 03/20/2020
Certification Date: 03/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 S MAIN ST STE B
EUFAULA OK
74432-3222
US

IV. Provider business mailing address

100 S 3RD ST
MCALESTER OK
74501-5300
US

V. Phone/Fax

Practice location:
  • Phone: 918-618-4248
  • Fax: 918-618-4473
Mailing address:
  • Phone: 918-426-0983
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. MELANIE DAWN MAHONEY
Title or Position: BILLING SUPERVISOR
Credential:
Phone: 918-426-0983