GREENWOOD LEFLORE HOSPITAL (NPI# 1124088299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124088299 |
| Entity Type | Organization |
| Organization Name | GREENWOOD LEFLORE HOSPITAL |
| Other Organization Name | KILMICHAEL CLINIC |
| Practice Address |
400 Lamar Ave Kilmichael MS 39747 |
| Mailing Address |
Po Box 1410 Greenwood MS 38935-1410 |
| Practice Telephone | 6622624284 |
| Mailing Telephone | 6622624284 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2020-06-24 |
| Authorized Official Name | DAWNE HOLMES (CFO) |
| Authorized Official Telephone | 6624597119 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Kilmichael Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942750617 | Greenwood Leflore Hospital | Psychiatry & Neurology | 1401 River Rd Rm 534, Greenwood, MS 38930 | 2016-10-06 |
| 1861794778 | Greenwood Leflore Hospital | Clinic/Center | 706 Highway 82 W Ste B, Greenwood, MS 38930-5028 | 2010-11-29 |
| 1750341855 | Greenwood Leflore Hospital | Clinic/Center | 100 N Court St, Sumner, MS 38957-9710 | 2006-03-24 |
| 1598725889 | Greenwood Leflore Hospital | Orthopaedic Surgery | 204 8th St, Greenwood, MS 38930-4012 | 2006-03-23 |
| 1336109578 | Greenwood Leflore Hospital | Neurological Surgery | 405 River Rd, Greenwood, MS 38930 | 2006-03-23 |
| 1003875394 | Greenwood Leflore Hospital | Clinic/Center | 103 Basket St, Itta Bena, MS 38941-2801 | 2006-03-23 |
| 1841250172 | Greenwood Leflore Hospital | Clinic/Center | 110 Tchula St, Lexington, MS 39095-3111 | 2006-03-23 |
| 1083674204 | Greenwood Leflore Hospital | Psychiatry & Neurology | 1317 River Rd, Greenwood, MS 38930 | 2006-03-23 |
| 1447210554 | Greenwood Leflore Hospital | Anesthesiology | 1403 Strong Ave, Greenwood, MS 38930 | 2006-03-23 |
| 1689633950 | Greenwood Leflore Hospital | Internal Medicine | 201 E Washington St, Greenwood, MS 38930-4407 | 2006-03-23 |
| Street Address |
400 LAMAR AVE |
| City | KILMICHAEL |
| State | MS |
| Zip Code | 39747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114445764 | Leslie B Pearson | Nurse Practitioner | 400 Lamar Ave, Kilmichael, MS 39747 | 2017-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912382060 | Webster Health Services, Inc. | Clinic/Center | 301 Lamar Street, Kilmichael, MS 39747 | 2015-07-29 |
| 1487863692 | Kilmichael Hospital | Medicare Defined Swing Bed Unit | 301 Lamar Ave, Kilmichael, MS 39747 | 2007-05-22 |
| 1144362054 | Kilmichael Clinic | Clinic/Center | 303 Lamar Avenue, Kilmichael, MS 39747 | 2007-02-14 |
| 1518176445 | Kilmichael Hospital | Family Medicine | 301 Lamar Ave., Kilmichael, MS 39747-0188 | 2007-05-21 |
| 1144204561 | Kilmichael Hospital | General Acute Care Hospital | 301 Lamar Avenue, Kilmichael, MS 39747-0188 | 2005-11-30 |
| 1790216091 | Lajoyce Stewart | Nurse Practitioner | 301 Lamar St, Kilmichael, MS 39747-9002 | 2017-03-27 |
| 1942258322 | Cherryl M Avent | Emergency Medicine | 303 Lamar St, Kilmichael, MS 39747-9002 | 2006-05-05 |
| 1942724349 | Wade Henson | Nurse Practitioner | 301 Lamar St, Kilmichael, MS 39747-9002 | 2017-07-28 |
| 1932609674 | Rachel Montgomery | Occupational Therapy Assistant | 5 Vaiden Kilmichael Rd, Kilmichael, MS 39747-9518 | 2018-02-20 |
| 1982977609 | Mackie P Greenlee | Pharmacist | 2266 Highway 407, Kilmichael, MS 39747-9609 | 2012-02-10 |
| Find all providers in zip 39747 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912382060 | Webster Health Services, Inc. | Clinic/Center | 301 Lamar Street, Kilmichael, MS 39747 | 2015-07-29 |
| 1144362054 | Kilmichael Clinic | Clinic/Center | 303 Lamar Avenue, Kilmichael, MS 39747 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730786120 | Ochsner Medical Center - Hancock, LLC | Clinic/Center | 2274 Highway 43 S Ste 200, Picayune, MS 39466-8141 | 2020-10-08 |
| 1306460282 | Covington County Hospital | Clinic/Center | 105 Eaton St, Taylorsville, MS 39168-5614 | 2020-06-05 |
| 1871117747 | Covington County Hospital | Clinic/Center | 1039 Highway 42 Ste C, Sumrall, MS 39482-4478 | 2020-06-05 |
| 1194365338 | Bounds Family Medical | Clinic/Center | 870 Main St Ste A, Fayette, MS 39069-5695 | 2020-01-15 |
| 1720649577 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 19 Third St, Belmont, MS 38827 | 2019-06-24 |
| 1255999611 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 400 3rd Ave 32 West, New Houlka, MS 38850 | 2019-05-31 |
| 1598238545 | South Sunflower County Hospital | Clinic/Center | 1001 West Delta, Moorhead, MS 38761 | 2019-01-02 |
| 1790272185 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 670 Ms-178, Suite 5, Sherman, MS 38869 | 2018-04-20 |
| 1124515515 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 2200 5th St N, Columbus, MS 39705-2212 | 2018-04-20 |
| 1205323698 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 815 2nd Ave N, Columbus, MS 39701-4703 | 2018-04-20 |
| Find all providers with the same taxonomy | ||||
| City | KILMICHAEL |
| Zip Code | 39747 |
Please comment or provide details below to improve the information on GREENWOOD LEFLORE HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.