Grenada Primary Care Clinic in Grenada, MS - Clinic/Center

Grenada Primary Care Clinic is a primary clinic (Clinic/center - Rural Health) in Grenada, Mississippi. The current practice location for Grenada Primary Care Clinic is 965 Avent Dr Ste 105, Grenada, Mississippi. For appointments, you can reach them via phone at (662) 227-7575. The mailing address for Grenada Primary Care Clinic is 965 Avent Dr Ste 105, Grenada, Mississippi and phone number is (662) 227-7575.

Grenada Primary Care Clinic is licensed to practice in Mississippi (license number 11-245) and its NPI number is 1154506277. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (662) 227-7575.

Contact Information

	Grenada Primary Care Clinic
	965 Avent Dr Ste 105 Grenada MS 38901-5045
	(662) 227-7575
	Not Available

Primary Care Clinic Profile

Full Name	Grenada Primary Care Clinic
Speciality	Clinic/center - Rural Health
Location	965 Avent Dr Ste 105, Grenada, Mississippi
Authorized Official Name and Position	Charles L Denton (CEO)
Authorized Official Contact	6622277005
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Grenada Primary Care Clinic 965 Avent Dr Ste 105 Grenada MS 38901-5045 Ph: (662) 227-7575	Grenada Primary Care Clinic 965 Avent Dr Ste 105 Grenada MS 38901-5045 Ph: (662) 227-7575

NPI Details:

NPI Number	1154506277
Provider Enumeration Date	01/08/2008
Last Update Date	01/08/2008

Medical Identifiers

Medical identifiers for Grenada Primary Care Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154506277	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QR1300X	Clinic/center - Rural Health	11-245 (Mississippi)	Primary

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Grenada Primary Care Clinic - Primary Care in Grenada, MS