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GRENADA LAKE MEDICAL CENTER
NPI 1386644789
General Acute Care Hospital - Rural in Grenada, MS

Active since July 28, 2005
960 AVENT DR, GRENADA, MS 38901(662) 227-7000(662) 227-7534 Get Directions Write a Review

NPPES record last updated: June 15, 2012. Verified against the NPPES registry weekly; last sync: August 09, 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 1386644789) is a healthcare organization registered as a rural in Grenada, Mississippi and active in the NPI registry since July 2005. The organization lists Charles L Denton, Ceo, as its authorized official.

NPPES Registry Identity

NPI1386644789
Entity TypeOrganization
Primary Taxonomy282NR1301X
Legal Business NameGRENADA LAKE MEDICAL CENTER
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 DateJuly 28, 2005
Last NPPES UpdateJune 15, 2012
✔ NPI 1386644789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · RuralHospitals
Taxonomy Code282NR1301X
License✔ Licensed in MS · 11245
960 AVENT DR, Grenada, MS 38901
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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's NPI number?

The NPI number for Grenada Lake Medical Center is 1386644789. It was assigned to this organization in the NPPES registry on July 28, 2005.

Where is Grenada Lake Medical Center located?

Grenada Lake Medical Center is located at 960 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, specializing in Rural, with taxonomy code 282NR1301X.

When was this NPI record last updated?

The NPPES record for Grenada Lake Medical Center was last updated on June 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.