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

Grenada Lake Medical Center

Organization General Acute Care Hospital · NPI 1467781377

Grenada Lake Medical Center is a General Acute Care Hospital 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) 227-7625
Fax: (662) 227-7534
Show map & directions

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

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X · Licence 11-245 (MS)

Record details

NPI number1467781377
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Denton — Ceo · (662) 227-7000
NPI enumeratedDecember 24, 2009
Last updated in NPPESDecember 24, 2009
Mailing address960 Avent Dr, Grenada, MS 38901-5230

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