OrganizationActive
Grenada Lake Medical Center
NPI 1790849354 · General Acute Care Hospital · Grenada, MS
Grenada Lake Medical Center is a General Acute Care Hospital organization in Grenada, MS (NPI 1790849354).
Provider details
- NPI number
- 1790849354
- Entity type
- Organization
- Primary specialty
- General Acute Care HospitalHospitals
- Organization subpart
- No
- Authorized official
- Charles Denton, Ceo(662) 227-7000
- License
- 11-245 (MS)
Specialties & taxonomies
Hospitals
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
960 J K Avent Dr
Grenada, MS 38901
Phone: (662) 227-7000
Fax: (662) 227-6538
Approximate (ZIP-level) locationGet directions
Mailing address
960 J K Avent Dr
Grenada, MS 38901
Registry dates
- Enumerated
- 2006-12-20
- Last updated
- 2012-08-10
Frequently asked questions
- What is Grenada Lake Medical Center's NPI number?
- Grenada Lake Medical Center's National Provider Identifier (NPI) is 1790849354, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grenada Lake Medical Center?
- Grenada Lake Medical Center is classified in the NPPES registry as General Acute Care Hospital (Hospitals).
- Where is Grenada Lake Medical Center located?
- Grenada Lake Medical Center's practice location on file with NPPES is 960 J K Avent Dr, Grenada, MS 38901.
- What is Grenada Lake Medical Center's phone number?
- The practice phone number listed in the NPPES registry for Grenada Lake Medical Center is (662) 227-7000.
- Who is the authorized official for Grenada Lake Medical Center?
- The authorized official listed on Grenada Lake Medical Center's NPPES record is Charles Denton, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grenada Lake Medical Center's NPI active?
- Yes — Grenada Lake Medical Center's NPI (1790849354) is active in the NPPES registry as of the last update on 2012-08-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.