OrganizationActive
Grenada Lake Medical Center
NPI 1386644789 · Rural Acute Care Hospital · Grenada, MS
Provider details
- NPI number
- 1386644789
- Entity type
- Organization
- Primary specialty
- Rural Acute Care HospitalHospitals
- Organization subpart
- No
- Authorized official
- Charles Denton, Ceo(662) 227-7000
- License
- 11245 (MS)
Specialties & taxonomies
Hospitals
Practice location
960 Avent Dr
Grenada, MS 38901-5230
Phone: (662) 227-7000
Fax: (662) 227-7534
Approximate (ZIP-level) locationGet directions
Mailing address
960 Avent Dr
Grenada, MS 38901-5230
Registry dates
- Enumerated
- 2005-07-28
- Last updated
- 2012-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.