Grenada Lake Medical Center Dme
LBN: Grenada Lake Medical Center Dme
Grenada Lake Medical Center Dme is an health care organization with primary practice located at 960 Avent Dr , Grenada MS 38901-5230. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty.
Grenada Lake Medical Center Dme can be contacted via phone (662) 227-7000, or through Denton, Charles L via phone (662) 227-7000.
Contact Information
Primary practice address
960 Avent Dr
Grenada MS 38901-5230
Phone: (662) 227-7000
Fax: (662) 227-7534
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 11245 | Mississippi |
Profile Details
| NPI number | 1295700011 |
|---|---|
| LBN Legal business name | Grenada Lake Medical Center Dme |
| DBA Doing business as | |
| Authorized official | Denton, Charles L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295700011 | NPPES |
| Mississippi | MEDICAID | 00440637 |
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