COVINGTON COUNTY HOSPITAL NPI 1336447861

NPI Information

  • NPI: 1336447861
  • Provider Name: COVINGTON COUNTY HOSPITAL
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: GREEN TREE FAMILY MEDICAL CLINIC
  • CLIA Number: 25D0317620
  • Address: 603 SOUTH MAIN STREET
    MT. OLIVE, MS
    ZIP 39119
  • Phone: (601) 797-3405

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NPI Details

COVINGTON COUNTY HOSPITAL is a rural health clinic center in Mt. Olive, MS. COVINGTON COUNTY HOSPITAL NPI is 1336447861. The provider is registered as an organization entity type.
The provider Is Doing Business As Green Tree Family Medical Clinic.

The provider's business location address is:

603 SOUTH MAIN STREET
MT. OLIVE, MS
ZIP 39119-945
Phone: (601) 797-3405

The provider's authorized official is Kirstie Evans .
The authorized official title is Cfo and has the following contact phone number (601) 765-6711.

The CLIA number assigned to this NPI record is 25D0317620 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/8/2011 and was last updated on 10/5/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1253911MEDICARE PINMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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