| Greene Rural Health Center | |
|
1017 Jackson Ave Leakesville MS 39451-9105 | |
| (601) 394-4135 | |
| (601) 394-4455 |
| Full Name | Greene Rural Health Center |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 1017 Jackson Ave, Leakesville, Mississippi |
| Authorized Official Name and Position | Odessa Glynn (BUSINESS OFFICE DIRECTOR) |
| Authorized Official Contact | 6013944135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greene Rural Health Center 1017 Jackson Ave Leakesville MS 39451-9105 Ph: (601) 394-4135 | Greene Rural Health Center 1017 Jackson Ave Leakesville MS 39451-9105 Ph: (601) 394-4135 |
| NPI Number | 1992982805 |
|---|---|
| Provider Enumeration Date | 01/23/2008 |
| Last Update Date | 07/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992982805 | NPI | - | NPPES |
| 02255270 | Medicaid | MS | |
| 04428516 | Medicaid | MS | |
| 06200741 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 11343 (Mississippi) | Primary |
Coastal Family Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4336 High School Rd, Leakesville, MS 39451 Phone: 601-394-6830 Fax: 601-394-6831 | |
Coastal Family Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 Main Street, Leakesville, MS 39451 Phone: 601-394-4507 Fax: 601-394-5615 | |
Greene County Clinic Hospital Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1017 Jackson Ave, Leakesville, MS 39451 Phone: 601-947-8181 Fax: 601-947-4411 | |
Greene County Family Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1017 Jackson Ave, Leakesville, MS 39451 Phone: 601-394-2820 Fax: 601-394-2827 | |
Coastal Family Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 175 Annex Rd, Leakesville, MS 39451 Phone: 601-394-5093 Fax: 601-394-6061 | |
Coastal Family Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 951 Main St, Leakesville, MS 39451 Phone: 601-394-2381 Fax: 601-394-2593 |