# GREENWOOD LEFLORE HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Leflore Specialty Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205805918
- **Authorized official:** DAWNE HOLMES (CFO)
- **Authorized official phone:** (662) 459-7119

## Contact information

- **Practice address:** 1401 RIVER RD, GREENWOOD, MS 38930-4030
- **Practice address phone:** (662) 451-7881
- **Mailing address:** PO BOX 1410, GREENWOOD, MS 38935-1410
- **Mailing address phone:** (662) 459-7881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/15/2006
- **Last updated:** 01/14/2022