Organization
GREENWOOD LEFLORE HOSPITAL
Active
Other names
After Hours Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DAWNE HOLMES (CFO)
(662) 459-2603
Entity
Organization
Contact information
Practice address
1601 STRONG AVE, GREENWOOD, MS 38930-4037
(662) 451-7565
Mailing address
PO BOX 1410, GREENWOOD, MS 38935-1410
(662) 459-7565
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05281500
—
MS
Enumeration date
06/02/2009
Last updated
06/24/2020
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