Organization
GREENWOOD LEFLORE HOSPITAL
Active
Parent organization
GREENWOOD LEFLORE HOSPITAL
Other names
Magnolia Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREENWOOD LEFLORE HOSPITAL
Authorized official
MS. JENNIFER DAWNE HOLMES (CFO)
(662) 459-2603
Entity
Organization
Contact information
Practice address
1413 STRONG AVE, GREENWOOD, MS 38930-4035
(662) 459-1207
Mailing address
PO BOX 1410, GREENWOOD, MS 38935-1410
(662) 459-1207
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07004257
—
MS
Enumeration date
03/15/2006
Last updated
05/07/2018
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