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Grenada Lake Medical Center

Home Health Agency in Grenada, MS · enumerated 2006 · authorized official Charles Denton, Ceo.

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

National Provider Identifier

1144295965

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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
Phone (662) 227-7000
Fax (662) 227-7534
Enumeration date Feb 23, 2006
Last updated in NPPES Dec 10, 2007

Taxonomy & classification

251E00000X Home Health Agency Agencies · License 11245 (MS) Primary

Authorized official

Name Charles Denton
Title Ceo
Phone (662) 227-7005

Other identifiers

Identifier Type State Issuer
00070502 Medicaid MS -

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-12-10. Verify at npiregistry.cms.hhs.gov.
Where is Grenada Lake Medical Center located?
The practice location on file with NPPES is in Grenada, MS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-12-10.