Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grenada Lake Medical Center

Organization Psychiatric Hospital Unit · NPI 1215165642

Grenada Lake Medical Center is a Psychiatric Hospital Unit in Grenada, Mississippi. Licensed in Mississippi. Registered with an NPI since 2009.

Licensed in
MS
In the registry since
2009

Practice location Address checks out

960 Avent Dr
Grenada, MS 38901-5230
Phone: (662) 227-7000
Fax: (662) 227-7534
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric Hospital Unit (primary) Taxonomy 273R00000X · Licence 11-245 (MS)

Record details

NPI number1215165642
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Denton — Ceo · (662) 227-7000
Other names Parkwood Pavilion At Grenada
NPI enumeratedJune 24, 2009
Last updated in NPPESJuly 8, 2009
Mailing address960 Avent Dr, Grenada, MS 38901