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Grand Lake Health Care, LLC

Nurse Practitioner in Grove, OK · enumerated 2018 · authorized official Joseph Gelinas, Owner/Provider.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619459708

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Registry record

Entity type Organization (Type 2)
Legal business name Grand Lake Health Care, LLC
Practice address 601 S Broadway St, Grove, OK, 74344
Phone (918) 801-6085
Enumeration date Sep 5, 2018
Last updated in NPPES Feb 25, 2019

Taxonomy & classification

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 80573 (OK) Primary

Authorized official

Name Joseph Gelinas
Title Owner/Provider
Phone (918) 787-3491

Other identifiers

Identifier Type State Issuer
20313460A Medicaid OK -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Grand Lake Health Care, LLC?
The NPI for Grand Lake Health Care, LLC is 1619459708, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Grand Lake Health Care, LLC?
NPPES lists Joseph Gelinas (Owner/Provider) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-02-25.