GREEN TREE FAMILY MEDICAL CLINIC
NPI 1770741191
Clinic/Center - Rural Health in Mt. Olive, MS

Q: What is Green Tree Family Medical Clinic's NPI number?

The NPI number for Green Tree Family Medical Clinic is 1770741191. It was assigned to this organization in the NPPES registry on June 2, 2008.

Q: What is Green Tree Family Medical Clinic's specialty?

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

Active since June 02, 2008

603 MAIN STREET, MT. OLIVE, MS 39119(601) 797-3405(601) 797-4707 Get Directions Write a Review

NPPES record last updated: June 2, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Green Tree Family Medical Clinic NPPES

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

GREEN TREE FAMILY MEDICAL CLINIC (NPI 1770741191) is a healthcare organization registered as a rural health in Mt. Olive, Mississippi and active in the NPI registry since June 2008. The organization lists Kathy M Bynum, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1770741191

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameGREEN TREE FAMILY MEDICAL CLINIC

Location Address603 MAIN STREETMt. Olive, MS 39119

Mailing AddressPo Box 1107Mount Olive, MS 39119-1107 · (601) 797-3405 · Fax (601) 797-3405

Phone(601) 797-3405

Fax(601) 797-4707

Organization SubpartNo

Authorized OfficialKathy M BynumClinic Director · (601) 765-3180

Enumeration DateJune 2, 2008

✔ NPI 1770741191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

603 MAIN STREET, Mt. Olive, MS 39119

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Other Identifiers 1

Medicare PIN253911

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 Green Tree Family Medical Clinic's NPI number?

The NPI number for Green Tree Family Medical Clinic is 1770741191. It was assigned to this organization in the NPPES registry on June 2, 2008.

Where is Green Tree Family Medical Clinic located?

Green Tree Family Medical Clinic is located at 603 Main Street, Mt. Olive, MS 39119. The listed phone number is (601) 797-3405.

What is Green Tree Family Medical Clinic's specialty?

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

When was this NPI record last updated?

The NPPES record for Green Tree Family Medical Clinic was last updated on June 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.