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Organization

GREENE COUNTY HOSPITAL, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THOMAS WAYNE KULUZ CPA (CHIEF FINANCIAL OFFICER)
(601) 928-2911
Entity
Organization

Contact information

Practice address
1017 JACKSON AVE, LEAKESVILLE, MS 39451-9105
(601) 394-4135
(601) 394-4455
Mailing address
1017 JACKSON AVE, LEAKESVILLE, MS 39451-9105
(601) 394-4135
(601) 394-4455

Taxonomy

Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
11343
MS

Other

Enumeration date
01/02/2008
Last updated
01/02/2008
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