Provider Demographics
NPI:1144615444
Name:GCN HEALTH CARE INC
Entity Type:Organization
Organization Name:GCN HEALTH CARE INC
Other - Org Name:SECURE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:MAHONEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-426-0983
Mailing Address - Street 1:100 S 3RD ST
Mailing Address - Street 2:
Mailing Address - City:MCALESTER
Mailing Address - State:OK
Mailing Address - Zip Code:74501-5300
Mailing Address - Country:US
Mailing Address - Phone:918-426-0983
Mailing Address - Fax:
Practice Address - Street 1:305 S MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:EUFAULA
Practice Address - State:OK
Practice Address - Zip Code:74432-3222
Practice Address - Country:US
Practice Address - Phone:918-618-4248
Practice Address - Fax:918-618-4473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-02
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health