Greenwood Leflore Hospital

Organization Active NPI Rural Health Clinic/Center · Kilmichael, MS

NPI 1124088299 · NPPES record last updated Jun 24, 2020

Key facts

NPI
1124088299
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
GREENWOOD LEFLORE HOSPITAL
Practice address
400 Lamar Ave
Kilmichael, MS 39747
Phone
(662) 262-4284
NPI assigned
Mar 24, 2006
Organization subpart
No

Authorized official

Name
Dawne Holmes
Title
Cfo
Phone
(662) 459-7119

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Greenwood Leflore Hosp (6 organizations share this tax ID)

Locations

303 Lamar St
Kilmichael, MS 39747
Phone (662) 262-4284

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Yes

Addresses

Primary practice location

400 Lamar Ave
Kilmichael, MS 39747

Mailing address

PO Box 1410
Greenwood, MS 38935-1410
Phone (662) 262-4284

Other names

  • Kilmichael Clinic Doing business as

Other providers in Kilmichael, MS

All providers in Kilmichael, MS · Rural Health Clinic/Center in Mississippi

Sources for this page

Verify at the official NPI Registry.