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Organization

GREENWOOD LEFLORE HOSPITAL

Active
Parent organization
GREENWOOD LEFLORE HOSPITAL
Other names
GLH Pro Fees
Organization subpart
Yes

Provider details

NPI number
Legal business name
GREENWOOD LEFLORE HOSPITAL
Authorized official
JENNIFER DAWNE HOLMES (CFO)
(662) 459-2603
Entity
Organization

Contact information

Practice address
1401 RIVER RD, GREENWOOD, MS 38930-4030
(662) 459-2604
Mailing address
PO BOX 1410, GREENWOOD, MS 38935-1410
(662) 459-2604

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
2085R0202X
Diagnostic Radiology Physician

Other

Enumeration date
01/31/2008
Last updated
05/07/2018
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