Organization
COVINGTON COUNTY HOSPITAL
Active
Other names
Green Tree Family Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTIE EVANS (CFO)
(601) 765-6711
Entity
Organization
Contact information
Practice address
603 SOUTH MAIN STREET, MT. OLIVE, MS 39119-4945
(601) 797-3405
Mailing address
PO BOX 1107, MOUNT OLIVE, MS 39119-4945
(601) 797-3405
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/08/2011
Last updated
10/05/2011
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