Organization
SOUTH SUNFLOWER COUNTY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COURTNEY R PHILLIPS (ADMINISTRATOR)
(662) 887-5235
Entity
Organization
Contact information
Practice address
121 E BAKER ST, INDIANOLA, MS 38751-2450
(662) 887-5235
(662) 887-4111
Mailing address
121 EAST BAKER STREET, INDIANOLA, MS 38751-2450
(662) 887-5235
(662) 887-4111
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000020032
BLUE CROSS
MS
05
—
00020032
—
MS
Enumeration date
05/24/2006
Last updated
09/14/2021
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