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Organization

SOUTH SUNFLOWER COUNTY HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COURTNEY PHILLIPS (CEO)
(662) 635-7200
Entity
Organization

Contact information

Practice address
121 E BAKER ST, INDIANOLA, MS 38751-2450
(662) 635-7210
(662) 887-4111
Mailing address
121 E BAKER ST, INDIANOLA, MS 38751-2450
(662) 635-7210
(662) 887-4111

Taxonomy

Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
05/21/2019
Last updated
05/21/2019
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