Green Tree Family Medical Clinic

LBN: Covington County Hospital
Green Tree Family Medical Clinic is an health care organization with primary practice located at 603 South Main Street , Mt. Olive MS 39119-4945. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Covington County Hospital can be contacted via phone (601) 797-3405, or through Evans, Kirstie via phone (601) 765-6711.

Contact Information

Primary practice address
603 South Main Street Mt. Olive MS 39119-4945
Phone: (601) 797-3405
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Evans, Kirstie
Phone: (601) 765-6711

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1336447861
LBN Legal business name Covington County Hospital
DBA Doing business as Green Tree Family Medical Clinic
Authorized official Evans, Kirstie
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2011
Last updated Oct 5th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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