Grenada Lake Medical Center

LBN: Grenada Lake Medical Center
Grenada Lake Medical Center is an health care organization with primary practice located at 960 Avent Dr , Grenada MS 38901-5230. The organization recently has only one registered license in Transportation Services / Ambulance, which is considered as the primary health care specialty. Grenada Lake Medical Center can be contacted via phone (662) 227-7000, or through Denton, Charles L via phone (662) 227-7000.

Contact Information

Primary practice address
960 Avent Dr Grenada MS 38901-5230
Phone: (662) 227-7000
Fax: (662) 227-7534
Website:
Map and Directions
Authorized official contact:
Name: Denton, Charles L
Phone: (662) 227-7000

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Ambulance 341600000X 11-245 Mississippi

Profile Details

NPI number 1699005355
LBN Legal business name Grenada Lake Medical Center
DBA Doing business as
Authorized official Denton, Charles L
Entity Organization
Organization subpart 1 No
Enumeration date Dec 31st, 2009
Last updated Dec 31st, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699005355 NPPES
Mississippi MEDICAID 00050795

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