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NPI Code Detail

MEDICARE: SOUTH SUNFLOWER COUNTY HOSPITAL

MEDICARE: SOUTH SUNFLOWER COUNTY HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000020032OTHERMSBLUE CROSS

General Provider Information

NPI Number : 1184679292
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH SUNFLOWER COUNTY HOSPITAL
Provider Business Mailing Address
First Line : 121 EAST BAKER STREET
Second Line :
City : INDIANOLA
State : MS
Zip : 38751-2450
Country : US
Telephone Number : 662-887-5235
Fax Number : 662-887-4111
Provider Business Practice Location Address
First Line : 121 E BAKER ST
Second Line :
City : INDIANOLA
State : MS
Zip : 38751-2450
Country : US
Telephone Number : 662-887-5235
Fax Number : 662-887-4111
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. COURTNEY R PHILLIPS
Credential :
Telephone Number : 662-887-5235
Provider Enumeration Date : 05/24/2006
Last Update Date : 09/14/2021

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Practice Location Address:
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Practice Fax:
1871701821 — SOUTH SUNFLOWER COUNTY HOSPITAL
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121 E BAKER ST
INDIANOLA, MS
38751-2450
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Practice Fax: 662-887-4111
1790993749 — SOUTH SUNFLOWER COUNTY HOSPITAL
Practice Location Address:
121 E BAKER ST
INDIANOLA, MS
38751-2450
Practice Phone: 662-887-5235
Practice Fax: 662-887-4111
1326256371 — SOUTH SUNFLOWER COUNTY HOSPITAL
Practice Location Address:
121 E BAKER ST
INDIANOLA, MS
38751-2450
Practice Phone: 662-887-5235
Practice Fax: 662-887-4111

Directions to “SOUTH SUNFLOWER COUNTY HOSPITAL ” Practice Location

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