| Greenwood Leflore Hospital | |
|
1401 River Rd Greenwood MS 38930-4030 | |
| (662) 459-7149 | |
| (662) 459-1159 |
| Full Name | Greenwood Leflore Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1401 River Rd, Greenwood, Mississippi |
| Authorized Official Name and Position | James H Jackson (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6624597149 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenwood Leflore Hospital Po Box 1410 Greenwood MS 38935-1410 Ph: (662) 459-7149 | Greenwood Leflore Hospital 1401 River Rd Greenwood MS 38930-4030 Ph: (662) 459-7149 |
| NPI Number | 1407803570 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 05/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407803570 | NPI | - | NPPES |
| 00020025 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 11065 (Mississippi) | Primary |
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