Greene County Hospital

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

09382 Issued in MS

Legal business name

GREENE COUNTY HOSPITAL

Practice address

1017 Jackson Ave
Leakesville, MS 39451-9105

Phone

(601) 394-4135

NPI assigned

Dec 12, 2006

Last updated

Aug 22, 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

Mrs. Cirila L Reyes, M.D.

Title

ER Physician

Phone

(601) 394-4135

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831250075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FOXGATE AVE APT 18B",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021876",
            "telephone_number": "601-325-6160"
        },
        {
            "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": "601-394-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "CIRILA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ER PHYSICIAN",
        "authorized_official_telephone_number": "601-394-4135",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MS",
            "license": "09382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19965",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George County Hospital (Greene County Hospital)
• George County Hospital (Greene Rural Health Care)
• George County Hospital (Greene County Hospital)
• Greene County Clinic Hospital Services
• Greene County Family Medical Clinic
• 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)

• Critical Access Hospital in Leakesville, MS
• Providers in Leakesville, MS by specialty
• Critical Access Hospital in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.