Grenada Lake Medical Center
Grenada Lake Medical Center is a Clinic/Center in Grenada, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.
- Licensed in
- MS
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
965 Avent Dr Ste 105Grenada, MS 38901-5045
Phone: (662) 227-7575
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence 11-245 (MS) |
|---|---|
| General Acute Care Hospital | Taxonomy 282N00000X · Licence 11-245 (MS) |
Record details
| NPI number | 1134302136 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Charles Denton — Ceo · (662) 227-7000 |
| Other names | Grenada Primary Care Clinic |
| NPI enumerated | December 12, 2007 |
| Last updated in NPPES | December 17, 2007 |
| Mailing address | 965 Avent Dr Ste 105, Grenada, MS 38901-5045 |
Other providers in Grenada
-
Grenada Diagnostic Radiology
1300 Sunset Dr Ste U, Grenada, MS 38901-4086 · (662) 226-9279
-
McGehee Family Health Clinic, PA
100 E Monroe St, Grenada, MS 38901-5249 · (662) 417-1710
-
Meghan Welch, Pmhnp-Bc, LLC
1300 Sunset Dr Ste Z, Grenada, MS 38901-4082 · (662) 307-9027