# GREENE COUNTY HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932384500
- **Authorized official:** MR. THOMAS WAYNE KULUZ CPA (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (601) 928-2911

## Contact information

- **Practice address:** 1017 JACKSON AVE, LEAKESVILLE, MS 39451-9105
- **Practice address phone:** (601) 394-4135
- **Practice address fax:** (601) 394-4455
- **Mailing address:** 1017 JACKSON AVE, LEAKESVILLE, MS 39451-9105
- **Mailing address phone:** (601) 394-4135
- **Mailing address fax:** (601) 394-4455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | 11343 | MS | Yes |

## Other

- **Enumeration date:** 01/02/2008
- **Last updated:** 01/02/2008