# GREENWOOD LEFLORE HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GORTON CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154390854
- **Authorized official:** MR. JERRY ADAMS (CEO)
- **Authorized official phone:** (662) 459-7000

## Contact information

- **Practice address:** 1401 RIVER RD, ATTN CLINIC ADMINISTRATION, GREENWOOD, MS 38930-4030
- **Practice address phone:** (662) 459-7189
- **Practice address fax:** (662) 459-1147
- **Mailing address:** PO BOX 1410, ATTN CLINIC ADMINISTRATION, GREENWOOD, MS 38935-1410
- **Mailing address phone:** (662) 459-7189
- **Mailing address fax:** (662) 459-1147

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/15/2006
- **Last updated:** 08/25/2008