Grenada Lake Medical Center in Grenada - Rural
Grenada Lake Medical Center - NPI 1386644789
Grenada Lake Medical Center is a Rural in Grenada, Mississippi. Grenada Lake Medical Center practices all healthcare services and medical treatments related to Rural. The NPI Number for Grenada Lake Medical Center is 1386644789. The last update date is 2012-06-15.
Grenada Lake Medical Center's current location address is 960 Avent Dr, Grenada, Mississippi. You can contact this provider via phone number 6622277000 and fax number 6622277534. The mailing address for Grenada Lake Medical Center is 960 Avent Dr, Grenada, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grenada Lake Medical Center |
|---|---|
| Address | 960 Avent Dr, Grenada, Mississippi |
| Phone Number | 6622277000 |
| Fax Number | 6622277534 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Denton L Charles |
| Telephone Number | 6622277000 |
NPI Number Detail
| NPI Number | 1386644789 |
|---|---|
| Provider Enumeration Date | 2005-07-28 |
| Last Updated Date | 2012-06-15 |
Provider Mailing Address Detail
| Address | 960 Avent Dr |
|---|---|
| City | Grenada |
| State | Mississippi (MS) |
| Post Code | 389015230 |
| Phone Number | 6622277000 |
| Fax Number | 6622277534 |
Provider's Primary Taxonomy Detail
| Speciality | Rural |
|---|---|
| Taxonomy | 282Nr1301X |
| Licence No | 11245 |
|
Definition: Provides comprehensive inpatient medical and surgical care in rural areas. |
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What is the unique provider identifier assigned to Grenada Lake Medical Center?
The Grenada Lake Medical Center has been issued the NPI (National Provider Identifier) 1386644789 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Grenada Lake Medical Center is physically located?
The Grenada Lake Medical Center is situated at the following address: 960 Avent Dr, Grenada, MS 389015230.
What is the Grenada Lake Medical Center's area of specialization and corresponding taxonomy classification?
The Grenada Lake Medical Center's specialty field is Rural, and it falls under the taxonomy code 282Nr1301X, which categorizes healthcare providers based on their specialties.
On what date did the Grenada Lake Medical Center receive the assignment of its 1386644789 from the Centers for Medicare & Medicaid Services?
The Grenada Lake Medical Center was issued its 1386644789 by the Centers for Medicare & Medicaid Services on 2005-07-28.
When was the information related to Grenada Lake Medical Center most recently updated or refreshed?
The details pertaining to the Grenada Lake Medical Center, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-06-15.
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