Organization
NORTH SUNFLOWER MEDICAL CENTER
Active
Parent organization
NORTH SUNFLOWER MEDICAL CENTER
Other names
Walter B. Crook Nursing Facility
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH SUNFLOWER MEDICAL CENTER
Authorized official
MR. JOSE DANIEL CEJA (CEO)
(662) 756-2711
Entity
Organization
Contact information
Practice address
840 N OAK AVE, RULEVILLE, MS 38771-3227
(662) 756-2711
(662) 756-4114
Mailing address
840 N OAK AVE, RULEVILLE, MS 38771-3227
(662) 756-2711
(662) 756-4114
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
647
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00023150
—
MS
01
—
C00159
RADIOLOGY PRO FEES
MS
01
—
C00727
PHYSICIAN PRO FEES
MS
Enumeration date
03/13/2007
Last updated
06/08/2020
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