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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRENADA LAKE MEDICAL CENTER

Active Organization

GRENADA LAKE MEDICAL CENTER is a Rural Health Clinic organization located in GRENADA, Mississippi. NPI 1154506277 is currently active in the NPPES registry. Verify at CMS.

Rural Health Clinic · GRENADA, MS

Registration Details

NPI Number
1154506277
Provider Type
Organization
NPI Issued
Jan 8, 2008 (18.594189117392 yrs)
Last Updated
Jan 8, 2008
License
11-245 (MS)

Practice Information

Address
965 AVENT DR STE 105
GRENADA, MS, 389015045
Browse MS providers · Browse ZIP 38901
Phone
6622277575
Primary Specialty
Rural Health Clinic
261QR1300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.