Grenada Lake Medical Center Dme in Grenada - Durable Medical Equipment & Medical Supplies
Grenada Lake Medical Center Dme - NPI 1295700011
Grenada Lake Medical Center Dme is a Durable Medical Equipment & Medical Supplies in Grenada, Mississippi. Grenada Lake Medical Center Dme practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Grenada Lake Medical Center Dme is 1295700011. The last update date is 2020-08-22.
Grenada Lake Medical Center Dme'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 Dme is 960 Avent Dr, Grenada, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grenada Lake Medical Center Dme |
|---|---|
| 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 | 1295700011 |
|---|---|
| Provider Enumeration Date | 2006-02-23 |
| Last Updated Date | 2020-08-22 |
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 | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
| Licence No | 11245 |
|
Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 440637 | MS | -- |
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What is the Grenada Lake Medical Center Dme's 1295700011?
The Grenada Lake Medical Center Dme's NPI (National Provider Identifier) Number is 1295700011. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Grenada Lake Medical Center Dme located?
The Grenada Lake Medical Center Dme is located at 960 Avent Dr, Grenada, MS 389015230.
What is Grenada Lake Medical Center Dme'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 Dme is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy classification code for this specialized field is 332B00000X.
On what date did Grenada Lake Medical Center Dme receive its 1295700011 assignment from the Centers for Medicare & Medicaid Services?
The Grenada Lake Medical Center Dme was assigned its 1295700011 on 2006-02-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Grenada Lake Medical Center Dme most recently updated?
The details pertaining to the Grenada Lake Medical Center Dme, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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