GRENADA DIAGNOSTIC SLEEP CENTER, LLC (NPI# 1902045735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902045735 |
| Entity Type | Organization |
| Organization Name | GRENADA DIAGNOSTIC SLEEP CENTER, LLC |
| Practice Address |
1300 Sunset Dr Suite E Grenada MS 38901-4086 |
| Mailing Address |
1300 Sunset Dr Suite F Grenada MS 38901-4086 |
| Practice Telephone | 8669814262 |
| Mailing Telephone | 6622265747 |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2009-02-18 |
| Authorized Official Name | DR. RALPH C. ARMSTRONG JR. (AUTHORIZED MANAGING MEMBER) |
| Authorized Official Telephone | 6622265747 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
| Street Address |
1300 SUNSET DR SUITE E |
| City | GRENADA |
| State | MS |
| Zip Code | 38901-4086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083613210 | Mal S. Riddell | Family Medicine | 1300 Sunset Dr, Suite B, Grenada, MS 38901-4086 | 2005-07-19 |
| 1235482340 | Grenada Cardiology LLC | Internal Medicine | 1300 Sunset Dr, Suite W, Grenada, MS 38901-4086 | 2012-10-26 |
| 1649550708 | Teresa Kaye Pickle | Nurse Practitioner | 1300 Sunset Dr, Ste A, Grenada, MS 38901-4081 | 2011-08-22 |
| 1164731931 | Latia Monanette Butts | Nurse Practitioner | 1300 Sunset Dr, Ste Q, Grenada, MS 38901-4086 | 2010-09-28 |
| 1962634170 | Mal S Riddell, D.o. Clinic | Family Medicine | 1300 Sunset Dr, Suite B, Grenada, MS 38901-4086 | 2009-08-20 |
| 1245462282 | Ralph T Cain | Nurse Practitioner | 1300 Sunset Dr, Ste Q, Grenada, MS 38901-4086 | 2009-08-10 |
| 1225200280 | Charles Edward Hill II | Physical Therapist | 1300 Sunset Dr, Ste G, Grenada, MS 38901-4086 | 2008-03-31 |
| 1578735791 | Alwin Max Juchheim IIi, Dpm | Podiatrist | 1300 Sunset Dr, Suite P, Grenada, MS 38901-4086 | 2008-03-27 |
| 1457577074 | John A Marascalco, Md, Pa | Specialist | 1300 Sunset Dr, Suite A, Grenada, MS 38901-4086 | 2007-04-18 |
| 1700983855 | Kathy Allen | Hearing Instrument Specialist | 1300 Sunset Dr, Suite V, Grenada, MS 38901-4086 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902435118 | The Mane Physician | Prosthetic/Orthotic Supplier | 94 Spain Drive, Grenada, MS 38901 | 2020-04-08 |
| 1942842166 | Sylvia C Bass | Technician | 813 Union Street, Grenada, MS 38901 | 2019-10-09 |
| 1669971180 | Jenny Taylor | Nurse Practitioner | 350 Sunset Drive, Grenada, MS 38901 | 2018-02-10 |
| 1073912762 | John Thomas Mcree I | Counselor | 2026 Commerce St Ste 8e, Grenada, MS 38901 | 2014-08-19 |
| 1700213634 | State of Mississippi-university of Mississippi Medical Center | Home Health | 960 Avent Drive, Grenada, MS 38901 | 2013-10-10 |
| 1114359866 | Cmhp Enterprises | Dentist | 1420 Wooded Drive, Grenada, MS 38901 | 2013-08-05 |
| 1518256460 | Mercy Hospice LLC | Hospice Care, Community Based | 1410 Wooded Drive, Grenada, MS 38901 | 2011-03-31 |
| 1215256318 | Della Lea Welsh | Speech-Language Pathologist | 1321 Dd Sunset Dr., Grenada, MS 38901 | 2010-05-28 |
| 1750514543 | Family Health Care Clinic, Inc. | Clinic/Center | 1102 Telegraph St, Grenada, MS 38901 | 2009-08-27 |
| 1033384771 | Jason K Bennett | Pharmacist | 140 Shadow Wood Cv, Grenada, MS 38901 | 2008-04-24 |
| Find all providers in zip 38901 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578062725 | Gulf Coast Sleep Medicine LLC | Clinic/Center | 2112 Bienville Blvd., Suite P, Ocean Springs, MS 39564 | 2018-02-02 |
| 1700316288 | The Sleep Lab, LLC | Clinic/Center | 162 Houston Acres, Florence, MS 39073-9708 | 2017-06-15 |
| 1083965305 | American Sleep Associates, Inc | Clinic/Center | 601 Renaissance Way, Ste. B, Ridgeland, MS 39157-6038 | 2012-09-26 |
| 1114291341 | Sleep Management Systems, LLC | Clinic/Center | 670 Highway 178 W Ste 5, Sherman, MS 38869-7000 | 2012-03-06 |
| 1932338472 | Alpha Sleep, LLC | Clinic/Center | 111 Lamar Ave, Hattiesburg, MS 39402 | 2009-07-06 |
| 1801078951 | Sweet Magnolia Moon, A Sleep Center, LLC | Clinic/Center | 6026 U S Highway 98, Suite 3, Hattiesburg, MS 39402-8861 | 2007-11-30 |
| 1922142215 | Covenant Sleep Clinic of Oxford, LLC | Clinic/Center | 2908 South Lamar Blvd, Suite 200, Oxford, MS 38655 | 2007-02-19 |
| 1831251925 | Hattiesburg Clinic Pa | Clinic/Center | 101 Courtenay Cir, Hattiesburg, MS 39402-3153 | 2006-12-14 |
| 1104831809 | Indianola Sleep Clinic, LLC | Clinic/Center | 103 W Jackson St, Belzoni, MS 39038-3500 | 2006-07-30 |
| 1669413381 | Sleep Study Clinics of West Tennessee LLC | Clinic/Center | 7420 Guthrie Dr N, Ste 101, Southaven, MS 38671-5876 | 2006-06-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.