Grenada Adult Healthcare Clinic Pc.

LBN: Grenada Adult Healthcare Clinic Pc.
Grenada Adult Healthcare Clinic Pc. is an health care organization with primary practice located at 965 J K Avent Dr Suite 106, Grenada MS 38901-5045. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Medical Specialty, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Grenada Adult Healthcare Clinic Pc. can be contacted via phone (662) 227-6450, or through Gondwe, Justice Aaron via phone (662) 227-6450.

Contact Information

Primary practice address
965 J K Avent Dr Suite 106 Grenada MS 38901-5045
Phone: (662) 227-6450
Fax: (662) 227-6452
Website:
Map and Directions
Authorized official contact:
Name: Gondwe, Justice Aaron Doctor of Medicine (MD)
Phone: (662) 227-6450

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 20373 Mississippi
Ambulatory Health Care Facilities / Primary Care 261QP2300X 20373 Mississippi

Profile Details

NPI number 1144478512
LBN Legal business name Grenada Adult Healthcare Clinic Pc.
DBA Doing business as Grenada Adult Healthcare Clinic Pc.
Authorized official Gondwe, Justice Aaron Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2008
Last updated Aug 29th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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