Grenada Lake Medical Center

  • 1053684548 NPI Number
  • |
  • Actived: 12 years ago
  • |
Grenada Lake Medical Center is a health care provider based in Grenada, MS. The NPI Number is 1053684548 and it has been active since 12 years ago. The specialty is Family Medicine, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Family Medicine services, Grenada Lake Medical Center is an excellent option. We are here to help you get the care you need.

Recently Active NPIs

Overview of Grenada Lake Medical Center

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 02/15/2012
  • Last updated: 03/18/2014

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 21836
  • License State: MS

Provider Mailing Address

  • Address: 965 Avent Dr Ste 100a
    Grenada, MS 38901
  • Phone: 662-227-7444
  • Fax: 662-227-7443

Provider Practice Location

  • Address: 965 Avent Dr Ste 100a
    Grenada, MS 38901
  • Phone: 662-227-7444
  • Fax: 662-227-7443

Authorized Official

  • Name: MR. David G. Putt FACHE
  • Position/Title: Ceo
  • Telephone Number: 662-227-7000

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 21836
  • License State: MS
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 00059747
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MS
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Grenada Lake Medical Center?
  • A: The npi number for Grenada Lake Medical Center is 1053684548.
  • Q: What are Grenada Lake Medical Center's specialties?
  • A: Grenada Lake Medical Center's specialties are Family Medicine and different specialities.
  • Q: Where is Grenada Lake Medical Center business practice location?
  • A: Grenada Lake Medical Center business practice location is 965 Avent Dr Ste 100a, Grenada, MS 38901.
  • Q: How to contact Grenada Lake Medical Center?
  • A: You can contact Grenada Lake Medical Center via 662-227-7444.
  • Q: What is the authorized official for Grenada Lake Medical Center?
  • A: The authorized office name is MR. David G. Putt FACHE with position/title is Ceo and you can reach the authorized official via phone number 6622277000.
Medicare Specialty
View all Specialties
© 2019 MDNPI.com - { Medical NPI }
Content provided by MDNPI.com mainly comes from the Centers for Medicare & Medicaid Services (CMS) published data, and the FOIA-disclosable NPPES health care provider data file.