| Grenada Middle School | |
|
28 Jones Rd Grenada MS 38901-5248 | |
| (662) 226-5135 | |
| (662) 226-5766 |
| Full Name | Grenada Middle School |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 28 Jones Rd, Grenada, Mississippi |
| Authorized Official Name and Position | Kim D Holland (SCHOOL NURSE) |
| Authorized Official Contact | 6622265135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grenada Middle School 28 Jones Rd Grenada MS 38901-5248 Ph: (662) 226-5135 | Grenada Middle School 28 Jones Rd Grenada MS 38901-5248 Ph: (662) 226-5135 |
| NPI Number | 1881839801 |
|---|---|
| Provider Enumeration Date | 12/04/2008 |
| Last Update Date | 12/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881839801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | R854440 (Mississippi) | Primary |
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