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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

Psychiatric Unit · GRENADA, MS

Registration Details

NPI Number
1215165642
Provider Type
Organization
NPI Issued
Jun 24, 2009 (16.82640584632 yrs)
Last Updated
Jul 8, 2009
License
11-245 (MS)

Practice Information

Address
960 AVENT DR
GRENADA, MS, 389015230
Browse MS providers · Browse ZIP 38901
Phone
6622277000
Fax
6622277534
Primary Specialty
Psychiatric Unit
273R00000X
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.