Grenada Women'S Services

LBN: Grenada Lake Medical Center
Grenada Women'S Services is an health care organization with primary practice located at 1900 Grandview Dr , Grenada MS 38901-5066. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Grenada Lake Medical Center can be contacted via phone (662) 226-5121, or through Smith, Shelley via phone (662) 226-5121.

Contact Information

Primary practice address
1900 Grandview Dr Grenada MS 38901-5066
Fax: (662) 226-7529
Website:
Authorized official contact:
Name: Smith, Shelley Certified Family Nurse Practitioner (CFNP)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1669578894
LBN Legal business name Grenada Lake Medical Center
DBA Doing business as Grenada Women'S Services
Authorized official Smith, Shelley Certified Family Nurse Practitioner (CFNP)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2006
Last updated Apr 3rd, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669578894 NPPES
Mississippi MEDICAID 07436578

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