Grenada Lake Medical Center Dme
Durable Medical Equipment & Medical Supplies
960 Avent Dr, Grenada
Mississippi, 38901-5230
662-227-7000 662-227-7534
Grenada Lake Medical Center Dme is a Durable Medical Equipment & Medical Supplies in Grenada, Mississippi. It is located at 960 Avent Dr, Grenada and it's customer support contact number is 662-227-7000. The authorized person of Grenada Lake Medical Center Dme is Mr. Charles L Denton who is Ceo of this DME and his contact number is 662-227-7000. Active license number of Grenada Lake Medical Center Dme is 11245 for Durable Medical Equipment & Medical Supplies in Mississippi.
Grenada Lake Medical Center Dme is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Grenada Lake Medical Center Dme type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Grenada Lake Medical Center Dme |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 960 Avent Dr, Grenada,
Mississippi, 38901-5230 |
| Phone: | 662-227-7000 |
| Fax: | 662-227-7534 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Charles L Denton |
| Position: | Ceo |
| Contact Number: | 662-227-7000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1295700011 |
| NPI Enumeration Date: | 23 Feb, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Grenada Lake Medical Center Dme are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | 11245 | Mississippi | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 00440637 | Medicaid | Mississippi | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 960 Avent Dr,
Grenada, Mississippi |
| Zip: | 38901-5230 |
| Phone Number: | 662-227-7000 |
| Fax Number: | 662-227-7534 |
Patients can reach Grenada Lake Medical Center Dme at
960 Avent Dr, Grenada, Mississippi or can
call on customer care at 662-227-7000.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.