GREENWOOD LEFLORE HOSPITAL (NPI# 1861670911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861670911 |
| Entity Type | Organization |
| Organization Name | GREENWOOD LEFLORE HOSPITAL |
| Other Organization Name | GLH PRO FEES |
| Practice Address |
1401 River Rd Greenwood MS 38930-4030 |
| Mailing Address |
Po Box 1410 Greenwood MS 38935-1410 |
| Practice Telephone | 6624592604 |
| Mailing Telephone | 6624592604 |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2018-05-07 |
| Authorized Official Name | JENNIFER DAWNE HOLMES (CFO) |
| Authorized Official Telephone | 6624592603 |
| Is Organization Subpart | Y |
| Parent Organization Name | GREENWOOD LEFLORE HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| GLH Pro Fees | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942750617 | Greenwood Leflore Hospital | Psychiatry & Neurology | 1401 River Rd Rm 534, Greenwood, MS 38930 | 2016-10-06 |
| 1861794778 | Greenwood Leflore Hospital | Clinic/Center | 706 Highway 82 W Ste B, Greenwood, MS 38930-5028 | 2010-11-29 |
| 1124088299 | Greenwood Leflore Hospital | Clinic/Center | 400 Lamar Ave, Kilmichael, MS 39747 | 2006-03-24 |
| 1750341855 | Greenwood Leflore Hospital | Clinic/Center | 100 N Court St, Sumner, MS 38957-9710 | 2006-03-24 |
| 1598725889 | Greenwood Leflore Hospital | Orthopaedic Surgery | 204 8th St, Greenwood, MS 38930-4012 | 2006-03-23 |
| 1336109578 | Greenwood Leflore Hospital | Neurological Surgery | 405 River Rd, Greenwood, MS 38930 | 2006-03-23 |
| 1003875394 | Greenwood Leflore Hospital | Clinic/Center | 103 Basket St, Itta Bena, MS 38941-2801 | 2006-03-23 |
| 1841250172 | Greenwood Leflore Hospital | Clinic/Center | 110 Tchula St, Lexington, MS 39095-3111 | 2006-03-23 |
| 1083674204 | Greenwood Leflore Hospital | Psychiatry & Neurology | 1317 River Rd, Greenwood, MS 38930 | 2006-03-23 |
| 1447210554 | Greenwood Leflore Hospital | Anesthesiology | 1403 Strong Ave, Greenwood, MS 38930 | 2006-03-23 |
| Street Address |
1401 RIVER RD |
| City | GREENWOOD |
| State | MS |
| Zip Code | 38930-4030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518948264 | Greenwood Anesthesia & Pain Mgmt, Pllc | Anesthesiology | 1401 River Rd, Anesthesia Department, Greenwood, MS 38930-4030 | 2005-11-09 |
| 1760024442 | Paula Perryman Mcdowell | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930-4030 | 2019-10-14 |
| 1154973345 | Angela Seto Hudson | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930 | 2019-07-09 |
| 1245892777 | Carol Clark Moses | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930-4030 | 2019-07-04 |
| 1003477449 | Kara Austin | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930-4030 | 2019-06-26 |
| 1902362734 | Tammie Marshell Brown | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930-4030 | 2019-02-18 |
| 1023591559 | William Jesse Hodnett IIi | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930-4030 | 2018-09-11 |
| 1184129306 | Tammarin S Collins | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930-4030 | 2018-03-28 |
| 1467976548 | Michele Latonya Brooks | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930-4030 | 2017-07-31 |
| 1386185197 | Alliance Healthcare Services Inc | Clinic/Center | 1401 River Rd, Greenwood, MS 38930-4030 | 2017-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447871579 | Stewart Health Care Training Academy | Home Health Aide | 522 West Park Avenue Suite S, Greenwood, MS 38930 | 2020-04-29 |
| 1801386487 | Sunflower-humphreys Counties Progress, Inc. | Case Management | 414 Martin Luther King Dr, Indianola, MS 38930 | 2018-05-18 |
| 1053826610 | Sarah Malone | Counselor | 2504 Browing Road, Greenwood, MS 38930 | 2017-12-05 |
| 1780109850 | Jasmine Turner Edwards | Pharmacist | 2202 Us 82 W Frontage Rd, Greenwood, MS 38930 | 2017-08-09 |
| 1861916199 | Maurice Wright | Social Worker | 522 West Park Avenue, Suite Q-r, Greenwood, MS 38930 | 2017-07-28 |
| 1215464607 | Catherine Johnson | Counselor | 522 West Park Avenue, Greenwood, MS 38930 | 2017-05-16 |
| 1598205262 | Vignesh Kannan | Internal Medicine | Greenwood Leflore Hospital, 1401 River Rd, Greenwood, MS 38930 | 2017-03-01 |
| 1952847691 | Mischa Mccray | Counselor | 804 E Park Ave, Greenwood, MS 38930 | 2017-01-18 |
| 1760933147 | Ginger Caldero | Social Worker | 522 West Park Ave, Greenwood, MS 38930 | 2016-10-20 |
| 1942750617 | Greenwood Leflore Hospital | Psychiatry & Neurology | 1401 River Rd Rm 534, Greenwood, MS 38930 | 2016-10-06 |
| Find all providers in zip 38930 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326476003 | Medexpress Urgent Care, PC - Indiana | Emergency Medicine | 489 South State Road 135, Suite E, Greenwood, IN 46142-1407 | 2013-10-16 |
| 1386801504 | Stephanie Lynne Riley | Emergency Medicine | 4564 Driftwood Ln, Greenwood, IN 46143-8164 | 2008-05-16 |
| 1740788165 | Self Medical Group | Emergency Medicine | 1325 Spring St, Greenwood, SC 29646-3860 | 2018-01-31 |
| 1427397306 | Doctors Care Sc, Pa | Emergency Medicine | 516 Montague Ave, Greenwood, SC 29649-1942 | 2013-02-12 |
| 1114155710 | Richard D Brooksbank | Emergency Medicine | 1325 Spring St, Greenwood, SC 29646-3860 | 2009-06-23 |
| 1730218538 | Richard Graham | Emergency Medicine | 1325 Spring St, Greenwood, SC 29646-3860 | 2007-03-05 |
| 1568502714 | William B Harper | Emergency Medicine | 1401 River Rd, Greenwood, MS 38930-4030 | 2007-02-07 |
| 1427197052 | Louis J Moses | Emergency Medicine | 1401 River Rd, Greenwood, MS 38930-4030 | 2007-02-06 |
| 1013057645 | Paula J Spence-evans | Emergency Medicine | 1401 River Rd, Greenwood, MS 38930-4030 | 2007-02-06 |
| 1770681876 | Stephen Richard Schwab | Emergency Medicine | 1325 Spring St, Greenwood, SC 29646 | 2006-09-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.