GREENE FAMILY MEDICAL CLINIC
NPI 1992982805
Clinic/Center - Community Health in Leakesville, MS

Q: What is Greene Rural Health Center's NPI number?

The NPI number for Greene Rural Health Center is 1992982805. It was assigned to this organization in the NPPES registry on January 23, 2008. The provider is doing business as Greene Family Medical Clinic.

Q: What is Greene Rural Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Active since January 23, 2008

1017 JACKSON AVE, LEAKESVILLE, MS 39451(601) 394-4135(601) 394-4455 Get Directions Write a Review

NPPES record last updated: July 14, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Greene Family Medical Clinic NPPES

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

GREENE FAMILY MEDICAL CLINIC (NPI 1992982805) is a healthcare organization registered as a community health in Leakesville, Mississippi and active in the NPI registry since January 2008. The organization lists Odessa Glynn, Business Office Director, as its authorized official.

NPPES Registry Identity

NPI1992982805

Entity TypeOrganization

Primary Taxonomy261QC1500X

Legal Business NameGREENE RURAL HEALTH CENTER

Location Address1017 JACKSON AVELeakesville, MS 39451-9105

Mailing Address1017 Jackson AveLeakesville, MS 39451-9105 · (601) 394-4135 · Fax (601) 394-4455

Phone(601) 394-4135

Fax(601) 394-4455

Organization SubpartNo

Authorized OfficialOdessa GlynnBusiness Office Director · (601) 394-4135

Enumeration DateJanuary 23, 2008

Last NPPES UpdateJuly 14, 2008

✔ NPI 1992982805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities

Taxonomy Code261QC1500X

License✔ Licensed in MS · 11343

1017 JACKSON AVE, Leakesville, MS 39451

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Other Names 1

Doing Business AsGreene Family Medical Clinic

Other Identifiers 4

Medicaid04428516MS

Medicaid06200741MS

Medicaid02255270MS

Medicare OSCAR/certification251329MS

Other Providers at the Same Location NPPES 16

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

MR. ERIC ASHLEY MCCRANEY CRNP

Nurse Practitioner (Family)