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Grenada Lake Medical Center
Rural Health Clinic/Center in Grenada, Mississippi
NPI 1154506277

Grenada Lake Medical Center is a Rural Health Clinic/Center based in Grenada, MS and is specialized in Rural Health. Grenada Lake Medical Center practices in Grenada, MS. The NPI Number for Grenada Lake Medical Center is 1154506277 and holds a License No. 11-245 (Mississippi).

The current practice location address for Grenada Lake Medical Center is 965 Avent Dr Ste 105, Grenada, MS and can be reached out via phone at 662-227-7575.

Location: 965 Avent Dr Ste 105, Grenada, MS, 38901-5045
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154506277
Provider Name
Grenada Lake Medical Center
Credential
Provider Entity Type
Organization
Address
965 Avent Dr Ste 105, Grenada, MS, 38901-5045
Phone Number
662-227-7575
Fax Number
Provider Enumeration Date
01/08/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
965 Avent Dr Ste 105
City
Grenada
State
Mississippi
Zip
38901-5045
Phone Number
662-227-7575
Fax Number
person
Provider Business Mailing Address Details
Address
965 Avent Dr Ste 105
City
Grenada
State
Mississippi
Zip
38901-5045
Phone Number
662-227-7575
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
11-245 (Mississippi)
Definition
Definition to come...
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