GRENADA LAKE MEDICAL CENTER
NPI 1326109505
General Acute Care Hospital in Grenada, MS

Active since December 12, 2006
960 J K AVENT DR, GRENADA, MS 38901(662) 227-7000(662) 227-6538 Get Directions Write a Review

NPPES record last updated: August 10, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Grenada Lake Medical Center NPPES

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

GRENADA LAKE MEDICAL CENTER (NPI 1326109505) is a healthcare organization registered as a general acute care hospital in Grenada, Mississippi and active in the NPI registry since December 2006. The organization lists Charles L Denton, Ceo, as its authorized official.

NPPES Registry Identity

NPI1326109505
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameGRENADA LAKE MEDICAL CENTER
Location Address960 J K AVENT DRGrenada, MS 38901
Mailing Address960 J K Avent DrGrenada, MS 38901 · (662) 227-7000 · Fax (662) 227-6538
Fax(662) 227-6538
Organization SubpartNo
Authorized OfficialCharles L DentonCeo · (662) 227-7000
Enumeration DateDecember 12, 2006
Last NPPES UpdateAugust 10, 2012
NPI 1326109505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License Licensed in MS · 11-245
Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

960 J K AVENT DR, Grenada, MS 38901

Other Identifiers 3

Medicare ID-Type UnspecifiedC00186MS · Cahaba Mcr Part B Eeg Ekg
Other000019026MS · Bx Prof Fee #
Medicaid09011014MS

Other Providers at the Same Location NPPES 5

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

Internal Medicine
960 J K AVENT DR
GRENADA, MS 38901
Registered Nurse
960 J K AVENT DR
GRENADA, MS 38901
Ambulance
960 J K AVENT DR
GRENADA, MS 38901
General Acute Care Hospital
960 J K AVENT DR
GRENADA, MS 38901
Orthopaedic Surgery
960 J K AVENT DR
GRENADA, MS 38901

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's NPI number?

The NPI number for Grenada Lake Medical Center is 1326109505. It was assigned to this organization in the NPPES registry on December 12, 2006.

Where is Grenada Lake Medical Center located?

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

What is Grenada Lake Medical Center's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

When was this NPI record last updated?

The NPPES record for Grenada Lake Medical Center was last updated on August 10, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.