Grenada Lake Medical Center in Grenada - General Acute Care Hospital
Grenada Lake Medical Center - NPI 1790849354
Grenada Lake Medical Center is a General Acute Care Hospital in Grenada, Mississippi. Grenada Lake Medical Center practices all healthcare services and medical treatments related to General Acute Care Hospital. The NPI Number for Grenada Lake Medical Center is 1790849354. The last update date is 2012-08-10.
Grenada Lake Medical Center's current location address is 960 J K Avent Dr, Grenada, Mississippi. You can contact this provider via phone number 6622277000 and fax number 6622276538. The mailing address for Grenada Lake Medical Center is 960 J K Avent Dr, Grenada, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grenada Lake Medical Center |
|---|---|
| Address | 960 J K Avent Dr, Grenada, Mississippi |
| Phone Number | 6622277000 |
| Fax Number | 6622276538 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Denton L Charles |
| Telephone Number | 6622277000 |
NPI Number Detail
| NPI Number | 1790849354 |
|---|---|
| Provider Enumeration Date | 2006-12-20 |
| Last Updated Date | 2012-08-10 |
Provider Mailing Address Detail
| Address | 960 J K Avent Dr |
|---|---|
| City | Grenada |
| State | Mississippi (MS) |
| Post Code | 38901 |
| Phone Number | 6622277000 |
| Fax Number | 6622276538 |
Provider's Primary Taxonomy Detail
| Speciality | General Acute Care Hospital |
|---|---|
| Taxonomy | 282N00000X |
| Licence No | 11-245 |
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Definition: An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patien |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000019026A | MS | BX CRNA # | |
| 9013480 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Grenada Lake Medical Center by the Centers for Medicare & Medicaid Services (CMS)?
The Grenada Lake Medical Center has been assigned the NPI (National Provider Identifier) 1790849354. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Grenada Lake Medical Center's physical address?
The Grenada Lake Medical Center is physically located at 960 J K Avent Dr, in the city of Grenada, MS, with the postal code 38901.
What is Grenada Lake Medical Center's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Grenada Lake Medical Center is General Acute Care Hospital, and the corresponding taxonomy classification code for this specialized field is 282N00000X.
On what date did Grenada Lake Medical Center receive its 1790849354 assignment from the Centers for Medicare & Medicaid Services?
The Grenada Lake Medical Center was assigned its 1790849354 on 2006-12-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Grenada Lake Medical Center last refreshed?
The information related to the Grenada Lake Medical Center, including its address, specialty, and other relevant details, was last updated on 2012-08-10.
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