GREENWOOD LEFLORE HOSPITAL NPI 1669441994

NPI Information

  • NPI: 1669441994
  • Provider Name: GREENWOOD LEFLORE HOSPITAL
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: GREENWOOD CHILDREN'S CLINIC
  • CLIA Number: 25D0900578
  • Address: 1405 STRONG AVE
    GREENWOOD, MS
    ZIP 38930
  • Phone: (662) 459-7030

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NPI Details

GREENWOOD LEFLORE HOSPITAL is a rural health clinic center in Greenwood, MS. GREENWOOD LEFLORE HOSPITAL NPI is 1669441994. The provider is registered as an organization entity type.
The provider Is Doing Business As Greenwood Children's Clinic.

The provider's business location address is:

1405 STRONG AVE
GREENWOOD, MS
ZIP 38930
Phone: (662) 459-7030

The provider's authorized official is Dawne Holmes .
The authorized official title is Cfo and has the following contact phone number (662) 459-7119.

The CLIA number assigned to this NPI record is 25D0900578 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/17/2006 and was last updated on 6/24/2020.

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
109015045MEDICAIDMISSISSIPPI

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: 3/30/2025

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