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Mississippi Medicaid lookup

One provider matched this Medicaid ID.

Mississippi Medicaid ID 09014635 resolves to a single NPI record. Open the full profile for complete detail.

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GL
NPI · 1003875394 · Active
Greenwood Leflore Hospital
Rural Health Clinic/Center · Itta Bena, Mississippi
Active
NPI
1003875394
Medicaid (MS)
09014635
Taxonomy
261QR1300X
State
Mississippi

Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part A Provider

Source: CMS PECOS public enrollment file.

ReferenceAbout state Medicaid identifiers

State Medicaid programmes assign each enrolled provider a state-scoped identifier used on Medicaid claims. The identifier is reported to the federal NPPES registry alongside the provider's NPI and is mirrored here from the public dissemination file. Each state administers its own Medicaid programme, so the same provider can hold different Medicaid numbers in different states.