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 1790849354

Grenada Lake Medical Center is a General Acute Care Hospital in Grenada, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006

Practice location Address checks out

960 J K Avent Dr
Grenada, MS 38901
Phone: (662) 227-7000
Fax: (662) 227-6538
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 number1790849354
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Denton — Ceo · (662) 227-7000
NPI enumeratedDecember 20, 2006
Last updated in NPPESAugust 10, 2012
Mailing address960 J K Avent Dr, Grenada, MS 38901

Other providers in Grenada