Greenwood Leflore Hospital

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

GREENWOOD LEFLORE HOSPITAL

Doing business as

Greenwood Leflore Foot Center

Practice address

309 W Church St
Greenwood, MS 38930-4305

Phone

(662) 453-9004

NPI assigned

Mar 16, 2006

Last updated

May 7, 2018By 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) 459-2603

Specialties & licenses 1

Addresses

Other names 1

• Greenwood Leflore Foot Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Preston Boles, DPM

  • Podiatrist
  • Greenwood, MS
  • NPI 1699734855
  Medicare reassignment NPD

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1962471417",
    "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": "662-453-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W CHURCH ST",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304305",
            "telephone_number": "662-453-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD LEFLORE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "DAWNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "662-459-2603"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenwood Leflore Foot Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greenwood Leflore Foot Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Greenwood Leflore Hospital (Greenwood Orthopedic Clinic DME)
• Greenwood Leflore Hospital (GLH Pro Fees)
• Greenwood Leflore Hospital (Greenwood Leflore Walk In Clinic)
• Greenwood Leflore Hospital (Greenwood Psychiatry Clinic)
• Greenwood Leflore Hospital (Greenwood OB/GYN Associates)
• Greenwood Leflore Hospital DME
• Greenwood Leflore Hosptial (Greenwood Pulmonary and Sleep Disorder Clinic)
• Greenwood Leflore Hosptial (Greenwood Urology Clinic)
• Greenwood Leflore Pharmacy
• Greenwood Specialty Hospital II

• Podiatrist in Greenwood, MS
• Providers in Greenwood, MS by specialty
• Podiatrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.