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NPI Code Detail

MEDICARE: GREEN COUNTRY BEHAVIORAL HEALTH SERVICES, INC

MEDICARE: GREEN COUNTRY BEHAVIORAL HEALTH SERVICES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1245305861
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREEN COUNTRY BEHAVIORAL HEALTH SERVICES, INC
Provider Business Mailing Address
First Line : 619 N MAIN ST
Second Line :
City : MUSKOGEE
State : OK
Zip : 74401-4431
Country : US
Telephone Number : 918-682-8407
Fax Number : 918-687-0976
Provider Business Practice Location Address
First Line : 619 N MAIN ST
Second Line :
City : MUSKOGEE
State : OK
Zip : 74401-4431
Country : US
Telephone Number : 918-682-8407
Fax Number : 918-687-0976
Authorized Official
Title or Position : DIRECTOR OF MEDICAL SERVICES
Name : MS. RITA G OAKLEY
Credential : M.A.
Telephone Number : 918-682-8407
Provider Enumeration Date : 11/21/2006
Last Update Date : 08/22/2020

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Directions to “GREEN COUNTRY BEHAVIORAL HEALTH SERVICES, INC ” Practice Location

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