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Grenada Lake Medical Center

Orthopaedic Surgery Physician in Grenada, MS · enumerated 2006 · authorized official Charles Denton, Ceo.

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

National Provider Identifier

1922187095

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Registry record

Entity type Organization (Type 2)
Legal business name Grenada Lake Medical Center
Other name <Unavail>
Practice address 960 J K Avent Dr, Grenada, MS, 38901
Phone (662) 227-7000
Fax (662) 227-7534
Enumeration date Nov 2, 2006
Last updated in NPPES Mar 4, 2011

Taxonomy & classification

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Primary

Authorized official

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

Other identifiers

Identifier Type State Issuer
C03391 Other MS MEDICARE PROVIDER #
04557869 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 2011-03-04. 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 2011-03-04.