Organization
NORTH SUNFLOWER MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE D CEJA (CEO)
(662) 756-2711
Entity
Organization
Contact information
Practice address
200 W FLOYCE ST, RULEVILLE, MS 38771-3408
(662) 756-1660
(662) 756-4030
Mailing address
PO BOX 129, RULEVILLE, MS 38771-0129
(662) 756-1660
(662) 756-4030
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
06952/11.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06028568
—
MS
Enumeration date
11/07/2006
Last updated
08/08/2024
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