Organization · Type 2 NPI
Grenada Lake Medical Center
Clinic/Center · Grenada, MS
NPI number
1134302136
Active
Practice location
965 Avent Dr Ste 105
Grenada, MS 38901-5045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 11-245 (MS) |
| General Acute Care Hospital | 282N00000X | 11-245 (MS) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2 other providers at this address
Other clinic/center providers in Grenada
About NPI 1134302136
Grenada Lake Medical Center's National Provider Identifier is 1134302136, issued on Dec 12, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Grenada, MS. The record was last updated on Dec 17, 2007.