ITTA BENA CLINIC
NPI 1003875394
Clinic/Center - Rural Health in Itta Bena, MS

Active since March 23, 2006
103 BASKET ST, ITTA BENA, MS 38941(662) 254-7801 Get Directions Write a Review

NPPES record last updated: May 7, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2018, Aug 21, 2017, Aug 8, 2017 and 1 more (4 updates tracked since 2017).

About Itta Bena Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ITTA BENA CLINIC (NPI 1003875394) is a healthcare organization registered as a rural health in Itta Bena, Mississippi and active in the NPI registry since March 2006. The organization lists Jennifer Dawne Holmes, Cfo, as its authorized official.

NPPES Registry Identity

NPI1003875394
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameGREENWOOD LEFLORE HOSPITAL
Location Address103 BASKET STItta Bena, MS 38941-2801
Mailing AddressPo Box 1410Greenwood, MS 38935-1410 · (662) 254-7801
Organization SubpartNo
Authorized OfficialJennifer Dawne HolmesCfo · (662) 459-2603
Enumeration DateMarch 23, 2006
Last NPPES UpdateMay 7, 20184 updates tracked since enumeration
NPI 1003875394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
103 BASKET ST, Itta Bena, MS 38941

Other Names 1

Doing Business AsItta Bena Clinic

Other Identifiers 1

Medicaid09014635MS

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
103 BASKET ST
ITTA BENA, MS 38941
Nurse Practitioner (Family)
103 BASKET ST
ITTA BENA, MS 38941

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Greenwood Leflore Hospital's NPI number?

The NPI number for Greenwood Leflore Hospital is 1003875394. It was assigned to this organization in the NPPES registry on March 23, 2006. The provider is doing business as Itta Bena Clinic.

Where is Greenwood Leflore Hospital located?

Greenwood Leflore Hospital is located at 103 Basket St, Itta Bena, MS 38941. The listed phone number is (662) 254-7801.

What is Greenwood Leflore Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

What insurance does Greenwood Leflore Hospital accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Greenwood Leflore Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Greenwood Leflore Hospital was last updated on May 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.