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

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: July 19, 2026.

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.

GREENE RURUAL HEALTH CENTER
Skilled Nursing Facility
1017 JACKSON AVE
LEAKESVILLE, MS 39451
Greene County (601) 394-2371
GREENE RURAL HEALTH CENTER
General Acute Care Hospital (Critical Access)
1017 JACKSON AVE
LEAKESVILLE, MS 39451
Greene County (601) 394-4135
MR. JASON S. BOX CRNP
Nurse Practitioner
1017 JACKSON AVE
LEAKESVILLE, MS 39451
Greene County (601) 394-2820
DR. WILKINS DEDWYLDER MD
Family Medicine
1017 JACKSON AVE
LEAKESVILLE, MS 39451
Greene County (601) 394-4135
GREENE COUNTY NURSING AND REHABILITATION CENTER, INC.
Skilled Nursing Facility
1017 JACKSON AVE
LEAKESVILLE, MS 39451
Greene County (601) 394-4135
GREENE COUNTY HOSPITAL, INC.
General Acute Care Hospital (Critical Access)
1017 JACKSON AVE
LEAKESVILLE, MS 39451
Greene County (601) 394-2371
GEORGE COUNTY HOSPITAL
Skilled Nursing Facility
1017 JACKSON AVE
LEAKESVILLE, MS 39451
Greene County (601) 394-2371
GREENE COUNTY HOSPITAL, INC.
Medicare Defined Swing Bed Unit
1017 JACKSON AVE
LEAKESVILLE, MS 39451
Greene County (601) 394-4135

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 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.

Where is Greene Rural Health Center located?

Greene Rural Health Center is located at 1017 Jackson Ave, Leakesville, MS 39451. The listed phone number is (601) 394-4135.

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.

When was this NPI record last updated?

The NPPES record for Greene Rural Health Center was last updated on July 14, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.