Active NPI
Greenwood Leflore Hospital
- Psychiatric Hospital Unit
- Greenwood, MS
National Provider Identifier
1407803570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- License
- 11065
- Legal business name
- GREENWOOD LEFLORE HOSPITAL
- Practice address
- 1401 River Rd
Greenwood, MS 38930-4030 - Phone
- (662) 459-7149
- Fax
- (662) 459-1159
- NPI assigned
- May 27, 2006
- Last updated
- May 21, 2008
- Organization subpart
- Yes
- Parent organization
- GREENWOOD LEFLORE HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James H Jackson Jr.
- Title
- Chief Financial Officer
- Phone
- (662) 459-7149
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | 11065 | MS | Primary |
Addresses
Primary practice location
1401 River Rd
Greenwood, MS 38930-4030
Mailing address
PO Box 1410
Greenwood, MS 38935-1410
Phone (662) 459-7149
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00020025 | Medicaid | MS |
National Provider Directory
National Provider Directory- Part of
- Greenwood Leflore Hosp
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211328000000",
"number": "1407803570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1410",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "389351410",
"telephone_number": "662-459-7149",
"fax_number": "662-459-1159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 RIVER RD",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "389304030",
"telephone_number": "662-459-7149",
"fax_number": "662-459-1159"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENWOOD LEFLORE HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GREENWOOD LEFLORE HOSPITAL",
"enumeration_date": "2006-05-27",
"last_updated": "2008-05-21",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "662-459-7149",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": "MS",
"license": "11065",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00020025",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, MS
- Greenwood Leflore Hospital (Delta Surgical Clinic)
- Greenwood Leflore Hospital (Leflore Specialty Clinic)
- Greenwood Leflore Hospital
- Greenwood Leflore Hospital (Magnolia Medical Clinic)
- Greenwood Leflore Hospital (North Central MS Neurological Surgery Clinic)
- Greenwood Leflore Hospital (Greenwood Pain Management Center)
- Greenwood Leflore Hospital (North Central MS ENT)
- Greenwood Leflore Hospital (After Hours Clinic)
- Greenwood Leflore Hospital (Lucas Surgical Group)
- Greenwood Leflore Hospital (Greenwood Primary Care Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.