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Grenada Lake Medical Center

Skilled Nursing Facility in Grenada, MS · enumerated 2006 · authorized official Charles Denton, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053386870

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Registry record

Entity type Organization (Type 2)
Legal business name Grenada Lake Medical Center
Practice address 960 Avent Dr, Grenada, MS, 38901
Fax (662) 227-7534
Enumeration date Feb 23, 2006
Last updated in NPPES Dec 12, 2007

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 11245 (MS) Primary

Authorized official

Name Charles Denton
Title Ceo

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Grenada Lake Medical Center?
The NPI for Grenada Lake Medical Center is 1053386870, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Grenada Lake Medical Center?
NPPES lists Charles Denton (Ceo) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-12-12.