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GRENADA LAKE MEDICAL CENTER DME
NPI 1295700011
Durable Medical Equipment & Medical Supplies in Grenada, MS

Active since February 23, 2006
960 AVENT DR, GRENADA, MS 38901(662) 227-7000(662) 227-7534 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Grenada Lake Medical Center Dme NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRENADA LAKE MEDICAL CENTER DME (NPI 1295700011) is a healthcare organization registered as a durable medical equipment & medical supplies in Grenada, Mississippi and active in the NPI registry since February 2006. The organization lists Charles L Denton, Ceo, as its authorized official.

NPPES Registry Identity

NPI1295700011
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameGRENADA LAKE MEDICAL CENTER DME
Location Address960 AVENT DRGrenada, MS 38901-5230
Mailing Address960 Avent DrGrenada, MS 38901-5230 · (662) 227-7000 · Fax (662) 227-7534
Phone(662) 227-7000
Fax(662) 227-7534
Organization SubpartNo
Authorized OfficialCharles L DentonCeo · (662) 227-7000
Enumeration DateFebruary 23, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1295700011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in MS · 11245
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
960 AVENT DR, Grenada, MS 38901
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Other Identifiers 1

Medicaid00440637MS

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Medicare Defined Swing Bed Unit
960 AVENT DR
GRENADA, MS 38901
Grenada County (662) 227-7000
DR. SARAH KATHERINE GANTZ PANNEL D.O
Psychiatry & Neurology (Psychiatry)
960 AVENT DR, UMC GRENADA SENIOR CARE UNIT
GRENADA, MS 38901
Grenada County (662) 227-7222
DR. TARENCE E WADE MD
Emergency Medicine
960 AVENT DR
GRENADA, MS 38901
Grenada County (662) 227-7172
GRENADA LAKE MEDICAL CENTER
Skilled Nursing Facility
960 AVENT DR
GRENADA, MS 38901
Grenada County (662) 227-7000
STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Psychiatric Hospital
960 AVENT DR
GRENADA, MS 38901
Grenada County (662) 227-7000
ANDREA JEMAE COLLINS M.D.
Hospitalist
960 AVENT DR
GRENADA, MS 38901
Grenada County (662) 227-7008
ROBERT KEITH DUBARD CRNA
Nurse Anesthetist, Certified Registered
960 AVENT DR
GRENADA, MS 38901
Grenada County (662) 227-7000
GRENADA LAKE MEDICAL CENTER
Home Health
960 AVENT DR
GRENADA, MS 38901
Grenada County (662) 227-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grenada Lake Medical Center Dme's NPI number?

The NPI number for Grenada Lake Medical Center Dme is 1295700011. It was assigned to this organization in the NPPES registry on February 23, 2006.

Where is Grenada Lake Medical Center Dme located?

Grenada Lake Medical Center Dme is located at 960 Avent Dr, Grenada, MS 38901. The listed phone number is (662) 227-7000.

What is Grenada Lake Medical Center Dme's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Grenada Lake Medical Center Dme was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.