Grenada Lake Medical Center in Grenada - Clinic/center
Grenada Lake Medical Center - NPI 1134302136
Grenada Lake Medical Center is a Clinic/center in Grenada, Mississippi. Grenada Lake Medical Center practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Grenada Lake Medical Center is 1134302136. The last update date is 2007-12-17.
Grenada Lake Medical Center's current location address is 965 Avent Dr Ste 105, Grenada, Mississippi. You can contact this provider via phone number 6622277575. The mailing address for Grenada Lake Medical Center is 965 Avent Dr Ste 105, Grenada, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grenada Lake Medical Center |
|---|---|
| Address | 965 Avent Dr Ste 105, Grenada, Mississippi |
| Phone Number | 6622277575 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Denton L Charles |
| Telephone Number | 6622277000 |
NPI Number Detail
| NPI Number | 1134302136 |
|---|---|
| Provider Enumeration Date | 2007-12-12 |
| Last Updated Date | 2007-12-17 |
Provider Mailing Address Detail
| Address | 965 Avent Dr Ste 105 |
|---|---|
| City | Grenada |
| State | Mississippi (MS) |
| Post Code | 389015045 |
| Phone Number | 6622277575 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 11-245 |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Grenada Lake Medical Center by the Centers for Medicare & Medicaid Services?
The Grenada Lake Medical Center has been assigned the NPI (National Provider Identifier) 1134302136 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Grenada Lake Medical Center is geographically located?
The Grenada Lake Medical Center is physically situated at the following location: 965 Avent Dr Ste 105, Grenada, MS, 389015045.
What is the area of specialization for Grenada Lake Medical Center, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Grenada Lake Medical Center is Clinic/center, and the corresponding taxonomy code that categorizes this area of expertise is 261Q00000X.
When did the Grenada Lake Medical Center receive its 1134302136?
The Grenada Lake Medical Center was issued its 1134302136 on 2007-12-12, which is the date when the organization was assigned this unique identifier.
When was the Grenada Lake Medical Center's information last updated?
The Grenada Lake Medical Center's information was last updated on 2007-12-17.
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