Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grand Lake Health Care, LLC

Organization Nurse Practitioner · NPI 1619459708

Grand Lake Health Care, LLC provides Nurse Practitioner services in Grove, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2018.

Licensed in
OK
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

601 S Broadway St
Grove, OK 74344-3429
Phone: (918) 801-6085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 80573 (OK)

Record details

NPI number1619459708
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Gelinas — Owner/Provider · (918) 787-3491
NPI enumeratedSeptember 5, 2018
Last updated in NPPESFebruary 25, 2019
Mailing address62500 E 247 Loop, Grove, OK 74344-7435

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