Organization
GREENE COUNTY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CIRILA L REYES M.D. (ER PHYSICIAN)
(601) 394-4135
Entity
Organization
Contact information
Practice address
1017 JACKSON AVE, LEAKESVILLE, MS 39451-9105
(601) 394-4135
Mailing address
200 FOXGATE AVE APT 18B, HATTIESBURG, MS 39402-1876
(601) 325-6160
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
09382
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19965
—
MS
Enumeration date
12/12/2006
Last updated
08/22/2020
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