# GREENWOOD LEFLORE HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Greenwood Primary Care Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548616832
- **Authorized official:** DAWNE HOLMES (CFO)
- **Authorized official phone:** (662) 459-7119

## Contact information

- **Practice address:** 102 PROFESSIONAL PL, GREENWOOD, MS 38930-9633
- **Practice address phone:** (662) 453-1852
- **Mailing address:** PO BOX 1410, GREENWOOD, MS 38935-1410
- **Mailing address phone:** (662) 453-1852

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/05/2016
- **Last updated:** 01/14/2022