Greene Family Medical Clinic

LBN: Greene Rural Health Center
Greene Family Medical Clinic is an health care organization with primary practice located at 1017 Jackson Ave , Leakesville MS 39451-9105. The organization recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as the primary health care specialty. Greene Rural Health Center can be contacted via phone (601) 394-4135, or through Glynn, Odessa via phone (601) 394-4135.

Contact Information

Primary practice address
1017 Jackson Ave Leakesville MS 39451-9105
Phone: (601) 394-4135
Fax: (601) 394-4455
Website:
Map and Directions
Authorized official contact:
Name: Glynn, Odessa
Phone: (601) 394-4135

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X 11343 Mississippi

Profile Details

NPI number 1992982805
LBN Legal business name Greene Rural Health Center
DBA Doing business as Greene Family Medical Clinic
Authorized official Glynn, Odessa
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2008
Last updated Jul 14th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992982805 NPPES
Mississippi MEDICAID 02255270
Mississippi MEDICAID 04428516
Mississippi MEDICAID 06200741

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