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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1396892527
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 :
Provider Business Practice Location Address
First Line : 500 ROSS AVE
Second Line :
City : FORT GIBSON
State : OK
Zip : 74434-8422
Country : US
Telephone Number : 918-682-8407
Fax Number :
Authorized Official
Title or Position : IT DIRECTOR
Name : MARK BRIAN JOHNSON
Credential :
Telephone Number : 918-682-8407
Provider Enumeration Date : 01/03/2007
Last Update Date : 04/01/2008

Similar Medicare Providers

1104882000 — FORT GIBSON PUBLIC SCHOOLS
Practice Location Address:
500 S ROSS AVE , SPECIAL SERVICES OFFICE
FORT GIBSON, OK
74434-8422
Practice Phone: 918-478-3734
Practice Fax: 918-478-3079
1992852180 — GREEN COUNTRY BEHAVIORAL HEALTH SERVICES, INC.
Practice Location Address:
500 ROSS AVE
FORT GIBSON, OK
74434-8422
Practice Phone: 918-682-8407
Practice Fax:
1194900886 — MRS. RUBY AUSTIN M.S. CCC-SLP
Practice Location Address:
500 ROSS AVE
FORT GIBSON, OK
74434-8422
Practice Phone: 918-478-4841
Practice Fax:
1164990644 — JOYCE WHITE
Practice Location Address:
500 ROSS AVE
FORT GIBSON, OK
74434-8422
Practice Phone: 918-680-0141
Practice Fax: 918-478-3079
1265900237 — MELISSA KIRKENDALL
Practice Location Address:
500 ROSS AVE
FORT GIBSON, OK
74434-8422
Practice Phone: 918-478-2427
Practice Fax:
1962970558 — KATHLEEN PINION
Practice Location Address:
500 ROSS AVE
FORT GIBSON, OK
74434-8422
Practice Phone: 918-577-8485
Practice Fax:

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 © 2007-2026 (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.