Organization Name: | GREENE RURAL HEALTH CENTER |
NPI Number: | 1619063815 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONNA FREEMAN (FACILITY ADMINISTRATOR) |
Mailing Address: | 1017 Jackson Ave Leakesville |
State: | MS US |
Postal Code: | 394519105 |
Phone Number: | 6013944135 |
Fax Number: | 6013944455 |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 02/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 11343 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |