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Grenada Lake Medical Center

General Acute Care Hospital in Grenada, MS · enumerated 2006 · authorized official Charles Denton, Ceo.

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

National Provider Identifier

1326109505

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Registry record

Entity type Organization (Type 2)
Legal business name Grenada Lake Medical Center
Practice address 960 J K Avent Dr, Grenada, MS, 38901
Phone (662) 227-7000
Fax (662) 227-6538
Enumeration date Dec 12, 2006
Last updated in NPPES Aug 10, 2012

Taxonomy & classification

282N00000X General Acute Care Hospital Hospitals · License 11-245 (MS) Primary

Authorized official

Name Charles Denton
Title Ceo
Phone (662) 227-7000

Other identifiers

Identifier Type State Issuer
000019026 Other MS BX PROF FEE #
09011014 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

What type of organization is Grenada Lake Medical Center?
Grenada Lake Medical Center is registered in NPPES as a General Acute Care Hospital (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-08-10.