Greene Rurual Health Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GREENE RURUAL HEALTH CENTER

Practice address

1017 Jackson Ave
Leakesville, MS 39451-9105

Phone

(601) 394-2371

Fax

(601) 394-5495

NPI assigned

Oct 4, 2006

Last updated

Oct 26, 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

Mrs. Wanda Fay Hunt

Title

Facility Administrator

Phone

(601) 394-2371

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1821183955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 JACKSON AVE",
            "city": "LEAKESVILLE",
            "state": "MS",
            "postal_code": "394519105",
            "telephone_number": "601-394-2371",
            "fax_number": "601-394-5495"
        },
        {
            "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": "601-394-2371",
            "fax_number": "601-394-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE RURUAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "FAY",
        "authorized_official_title_or_position": "FACILITY ADMINISTRATOR",
        "authorized_official_telephone_number": "601-394-2371",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220134",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greene County Hospital, Inc.
• Greene County Hospital, Inc.
• Greene County Nursing and Rehabilitation Center, Inc. (Greene Rural Health Center)
• Greene Rural Health Center
• Greene Rural Health Center (Greene Family Medical Clinic)
• Kimberley Gurley, FNP-C
• Laurie Marie Hancock, COMS
• Caron Gibson Henderson, ANP
• Charlene Hicks, NP
• Hodges Pharmacy

• 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 26, 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.