Greene County Nursing and Rehabilitation Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

IN PROCESS Issued in MS

Legal business name

GREENE COUNTY NURSING AND REHABILITATION CENTER, INC.

Doing business as

Greene Rural Health Center

Practice address

1017 Jackson Ave
Leakesville, MS 39451-9105

Phone

(601) 394-4135

NPI assigned

Oct 25, 2007

Last updated

Oct 25, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thomas Wayne Kuluz, CPA

Title

Chief Financial Officer

Phone

(601) 928-2911

Specialties & licenses 1

Addresses

Other names 1

• GREENE RURAL HEALTH CENTER Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1023297173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 115",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "395770115",
            "telephone_number": "601-928-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 JACKSON AVE",
            "city": "LEAKESVILLE",
            "state": "MS",
            "postal_code": "394519105",
            "telephone_number": "601-394-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE COUNTY NURSING AND REHABILITATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "KULUZ",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "601-928-2911",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "IN PROCESS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREENE RURAL HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Greene County Clinic Hospital Services
• Greene County Family Medical Clinic
• Greene County Hospital
• Greene County Hospital, Inc.
• Greene County Hospital, Inc.
• Greene Rural Health Center
• Greene Rural Health Center (Greene Family Medical Clinic)
• Greene Rurual Health Center
• Kimberley Gurley, FNP-C
• Laurie Marie Hancock, COMS

• Skilled Nursing Facility in Leakesville, MS
• Providers in Leakesville, MS by specialty
• Skilled Nursing Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.