| Allegiance Specialty Hospital Of Greenville, Llc | |
|
300 S Washington Ave Fl 2 Greenville MS 38701-4719 | |
| (662) 332-7344 | |
| (662) 332-7925 |
| Full Name | Allegiance Specialty Hospital Of Greenville, Llc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 300 S Washington Ave Fl 2, Greenville, Mississippi |
| Authorized Official Name and Position | Vearnail Rowe Herzog (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6623327344 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allegiance Specialty Hospital Of Greenville, Llc 300 S Washington Ave Fl 3 Greenville MS 38701-4719 Ph: (662) 332-7344 | Allegiance Specialty Hospital Of Greenville, Llc 300 S Washington Ave Fl 2 Greenville MS 38701-4719 Ph: (662) 332-7344 |
| NPI Number | 1871269480 |
|---|---|
| Provider Enumeration Date | 08/23/2021 |
| Last Update Date | 08/23/2021 |
| Certification Date | 08/23/2021 |
| Medicare PECOS PAC ID | 7214129147 |
|---|---|
| Medicare Enrollment ID | O20221031002653 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871269480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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