Grenada Lake Inpatient Medicine Associates

LBN: Grenada Lake Inpatient Medicine Associates
Grenada Lake Inpatient Medicine Associates is an health care organization with primary practice located at 960 J K Avent Dr , Grenada MS 38901-5230. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Grenada Lake Inpatient Medicine Associates can be contacted via phone (662) 227-7492, or through Heartsill, Keith via phone (662) 227-7172.

Contact Information

Primary practice address
960 J K Avent Dr Grenada MS 38901-5230
Phone: (662) 227-7492
Fax: (662) 227-7541
Website:
Map and Directions
Authorized official contact:
Name: Heartsill, Keith
Phone: (662) 227-7172

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1235284928
LBN Legal business name Grenada Lake Inpatient Medicine Associates
DBA Doing business as
Authorized official Heartsill, Keith
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Apr 20th, 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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