Greenwood Leflore Hospital

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

GREENWOOD LEFLORE HOSPITAL

Doing business as

Greenwood Children's Clinic

Practice address

1405 Strong Ave
Greenwood, MS 38930

Phone

(662) 459-7030

NPI assigned

Mar 17, 2006

Last updated

Jun 24, 2020By 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

Dawne Holmes

Title

Cfo

Phone

(662) 459-7119

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Greenwood Children's Clinic Doing business as

Member of 1

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

• Greenwood Leflore Hospital

  dba After Hours Clinic

  • Rural Health Clinic/Center
  • Greenwood, MS
  • NPI 1457587610

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1669441994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1410",
            "address_2": "CLINIC ADMINISTRATION",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389351410",
            "telephone_number": "662-459-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 STRONG AVE",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "38930",
            "telephone_number": "662-459-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD LEFLORE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "DAWNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "662-459-7119"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015045",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenwood Children's Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greenwood Children's Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Greenwood Leflore Hospital (After Hours Clinic)
• Greenwood Leflore Hospital (Lucas Surgical Group)
• Greenwood Leflore Hospital (Greenwood Primary Care Clinic)
• Greenwood Leflore Hospital
• Greenwood Leflore Hospital (Greenwood Orthopedic Clinic)
• Greenwood Leflore Hospital (Greenwood Gastroenterology Center)
• Greenwood Leflore Hospital (North Central Ms Specialty Clinic)
• Greenwood Leflore Hospital (Hospitalists)
• Greenwood Leflore Hospital (Greenwood Orthopedic Clinic DME)
• Greenwood Leflore Hospital (GLH Pro Fees)

• Rural Health Clinic/Center in Greenwood, MS
• Providers in Greenwood, MS by specialty
• Rural Health Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.