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Organization

GREENWOOD LEFLORE HOSPITAL

Active
Other names
Lexington Primary Care Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER DAWNE HOLMES (CFO)
(662) 459-2603
Entity
Organization

Contact information

Practice address
110 TCHULA ST, LEXINGTON, MS 39095-3111
(662) 834-1855
Mailing address
PO BOX 1410, GREENWOOD, MS 38935-1410
(662) 834-1855

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09015105
MS
Enumeration date
03/23/2006
Last updated
05/07/2018
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