GRENADA LAKE MEDICAL CENTER – NPI #1386644789
General Acute Care Hospital

GRENADA LAKE MEDICAL CENTER is a general acute care hospital located in GRENADA, MS. NPPES has assigned the NPI number 1386644789 to GRENADA LAKE MEDICAL CENTER on July 28, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 282NR1301X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Rural

The NPI profile was previously updated about 14 years ago on Jun 15, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GRENADA LAKE MEDICAL CENTER below.

NPI Profile for
GRENADA LAKE MEDICAL CENTER

NPI Number
1386644789
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GRENADA LAKE MEDICAL CENTER
Primary location
960 AVENT DR
GRENADA, MS 38901-5230
Phone: (662) 227-7000 Fax: (662) 227-7534
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHARLES DENTON
CEO
Phone: (662) 227-7000
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
282NR1301X
- General Acute Care Hospital / Rural (Primary)		 MS 11245

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.