# GREENWOOD LEFLORE HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GREENWOOD LEFLORE HOSPITAL
- **Other names:** CLEVELAND FAMILY MEDICAL CLINIC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1740259282
- **Legal business name:** GREENWOOD LEFLORE HOSPITAL
- **Authorized official:** MR. JERRY ADAMS (CEO)
- **Authorized official phone:** (662) 459-7000

## Contact information

- **Practice address:** 803 1ST ST, CLEVELAND, MS 38732-2309
- **Practice address phone:** (662) 843-2721
- **Mailing address:** 803 1ST ST, CLEVELAND, MS 38732-2309
- **Mailing address phone:** (662) 843-2721

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/16/2006
- **Last updated:** 02/05/2008