Grenada Primary Care Clinic

LBN: Grenada Lake Medical Center
Grenada Primary Care Clinic is an health care organization with primary practice located at 965 Avent Dr Ste 105 , Grenada MS 38901-5045. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Hospitals / General Acute Care Hospital. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Grenada Lake Medical Center can be contacted via phone (662) 227-7575, or through Denton, Charles L via phone (662) 227-7000.

Contact Information

Primary practice address
965 Avent Dr Ste 105 Grenada MS 38901-5045
Phone: (662) 227-7575
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Denton, Charles L
Phone: (662) 227-7000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 11-245 Mississippi
Hospitals / General Acute Care Hospital 282N00000X 11-245 Mississippi

Profile Details

NPI number 1134302136
LBN Legal business name Grenada Lake Medical Center
DBA Doing business as Grenada Primary Care Clinic
Authorized official Denton, Charles L
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2007
Last updated Dec 17th, 2007 - about 17 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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