DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)OK

General Provider Information

NPI Number : 1336203132
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 : MIS DIRECTOR
Name : MARK BRIAN JOHNSON
Credential :
Telephone Number : 918-682-8407
Provider Enumeration Date : 12/19/2006
Last Update Date : 04/01/2008

Similar Medicare Providers

1134824816 — TAMMY LYNN WOODS
Practice Location Address:
619 N MAIN ST
MUSKOGEE, OK
74401-4431
Practice Phone: 918-682-8407
Practice Fax:
1841216520 — MR. ROCKY ALLEN ARRASMITH PA
Practice Location Address:
619 N MAIN ST BLDG D
MUSKOGEE, OK
74401-4431
Practice Phone: 918-682-0222
Practice Fax: 918-682-0221
1245305861 — GREEN COUNTRY BEHAVIORAL HEALTH SERVICES, INC
Practice Location Address:
619 N MAIN ST
MUSKOGEE, OK
74401-4431
Practice Phone: 918-682-8407
Practice Fax: 918-687-0976
1316008717 — REEVA SUE MUTCH
Practice Location Address:
619 N MAIN ST
MUSKOGEE, OK
74401-4431
Practice Phone: 918-682-8407
Practice Fax:
1134276314 — GREEN COUNTRY BEHAVIORAL HEALTH SERVICES, INC.
Practice Location Address:
619 N MAIN ST
MUSKOGEE, OK
74401-4431
Practice Phone: 918-682-8407
Practice Fax: 918-687-0976
1396885133 — ANNA MARIE IRWIN M.A.
Practice Location Address:
619 N MAIN ST
MUSKOGEE, OK
74401-4431
Practice Phone: 918-682-8407
Practice Fax: 918-687-0976

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

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.