Organization Active NPI

Greenwood Leflore Hospital

  • Family Medicine Physician
  • Cleveland, MS
National Provider Identifier
1740259282
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GREENWOOD LEFLORE HOSPITAL
Practice address
803 1St St
Cleveland, MS 38732-2309
Phone
(662) 843-2721
NPI assigned
Mar 16, 2006
Organization subpart
Yes
Parent organization
GREENWOOD LEFLORE HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Mr. Jerry Adams
Title
Ceo
Phone
(662) 459-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

803 1St St
Cleveland, MS 38732-2309

Mailing address

803 1St St
Cleveland, MS 38732-2309
Phone (662) 843-2721

Other names 1

  • CLEVELAND FAMILY MEDICAL CLINIC Doing business as

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": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1740259282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 1ST ST",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322309",
            "telephone_number": "662-843-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 1ST ST",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322309",
            "telephone_number": "662-843-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD LEFLORE HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREENWOOD LEFLORE HOSPITAL",
        "enumeration_date": "2006-03-16",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-459-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLEVELAND FAMILY MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.

Verify at the official NPI Registry.