Greenbough Nursing Center

LBN: Pensacola Health Trust Inc
Greenbough Nursing Center is an health care organization with primary practice located at 340 Desoto Avenue Ext , Clarksdale MS 38614-2814. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Pensacola Health Trust Inc can be contacted via phone (662) 627-3486, or through Bell, Scott J via phone (850) 430-0000.

Contact Information

Primary practice address
340 Desoto Avenue Ext Clarksdale MS 38614-2814
Phone: (662) 627-3486
Fax: (662) 627-5654
Website:
Map and Directions
Authorized official contact:
Name: Bell, Scott J
Phone: (850) 430-0000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 383 Mississippi

Profile Details

NPI number 1558353813
LBN Legal business name Pensacola Health Trust Inc
DBA Doing business as Greenbough Nursing Center
Authorized official Bell, Scott J
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2005
Last updated Aug 22nd, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1558353813 NPPES
Mississippi MEDICAID 0230119

Popular Providers