| South Sunflower County Hospital | |
|
121 E Baker St Indianola MS 38751-2450 | |
| (662) 887-5235 | |
| (662) 887-4111 |
| Full Name | South Sunflower County Hospital |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 121 E Baker St, Indianola, Mississippi |
| Authorized Official Name and Position | H J Blessitt (ADMINISTRATOR) |
| Authorized Official Contact | 6628875235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Sunflower County Hospital 121 E Baker St Indianola MS 38751-2450 Ph: (662) 887-5235 | South Sunflower County Hospital 121 E Baker St Indianola MS 38751-2450 Ph: (662) 887-5235 |
| NPI Number | 1871701821 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 10/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871701821 | NPI | - | NPPES |
| 09013158 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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