SOUTH SUNFLOWER COUNTY HOSPITAL (NPI# 1184679292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184679292 |
| Entity Type | Organization |
| Organization Name | SOUTH SUNFLOWER COUNTY HOSPITAL |
| Practice Address |
121 E Baker St Indianola MS 38751-2450 |
| Mailing Address |
121 East Baker Street Indianola MS 38751-2450 |
| Practice Telephone | 6628875235 |
| Practice Fax Number | 6628874111 |
| Mailing Telephone | 6628875235 |
| Mailing Fax Number | 6628874111 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2017-10-05 |
| Authorized Official Name | MR. COURTNEY R PHILLIPS (ADMINISTRATOR) |
| Authorized Official Telephone | 6628875235 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | BLUE CROSS | 000020032 | 01 |
| MS | 00020032 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598238545 | South Sunflower County Hospital | Clinic/Center | 1001 West Delta, Moorhead, MS 38761 | 2019-01-02 |
| 1023050564 | South Sunflower County Hospital | Clinic/Center | 110 E Baker St, Suite A, Indianola, MS 38751-2451 | 2006-06-11 |
| 1336706803 | South Sunflower County Hospital | Registered Nurse | 121 E Baker St, Indianola, MS 38751-2450 | 2019-05-21 |
| 1821420936 | South Sunflower County Hospital | General Acute Care Hospital | 110 E Baker St, Suite B, Indianola, MS 38751-2451 | 2013-07-31 |
| 1437321361 | South Sunflower County Hospital | Family Medicine | 122 E Baker St, Indianola, MS 38751-2451 | 2008-04-01 |
| 1871701821 | South Sunflower County Hospital | Psychiatry & Neurology | 121 E Baker St, Indianola, MS 38751-2450 | 2007-05-21 |
| 1790993749 | South Sunflower County Hospital | Radiology | 121 E Baker St, Indianola, MS 38751-2450 | 2007-05-21 |
| 1326256371 | South Sunflower County Hospital | Radiology | 121 E Baker St, Indianola, MS 38751-2450 | 2007-05-21 |
| 1972711927 | South Sunflower County Hospital | Emergency Medicine | 121 E Baker St, Indianola, MS 38751-2450 | 2007-05-21 |
| 1407064454 | South Sunflower County Hospital | Anesthesiology | 121 E Baker St, Indianola, MS 38751-2450 | 2007-05-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTH SUNFLOWER COUNTY HOSPITAL | 121 E Baker St, Indianola, MS 38751-2450 |
| Street Address |
121 E BAKER ST |
| City | INDIANOLA |
| State | MS |
| Zip Code | 38751-2450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962022913 | Margaret Swartzfager | Speech-Language Pathologist | 121 E Baker St, Indianola, MS 38751-2450 | 2020-04-20 |
| 1922628981 | Christine Herrington | Physical Therapist | 121 E Baker St, Indianola, MS 38751-2450 | 2020-04-20 |
| 1336709872 | Hadonica H Murphy | Family Medicine | 121 E Baker St, Indianola, MS 38751-2450 | 2019-06-17 |
| 1336706803 | South Sunflower County Hospital | Registered Nurse | 121 E Baker St, Indianola, MS 38751-2450 | 2019-05-21 |
| 1346705514 | Chelsea Needham | Physical Therapist | 121 E Baker St, Indianola, MS 38751-2450 | 2019-02-01 |
| 1073078275 | Elysia Peterson | Physical Therapist | 121 E Baker St, Indianola, MS 38751-2450 | 2019-02-01 |
| 1144798646 | Elizabeth Lacey Brown | Occupational Therapist | 121 E Baker St, Indianola, MS 38751-2450 | 2018-11-02 |
| 1518450410 | Elizabeth Whites | Nurse Practitioner | 121 E Baker St, Indianola, MS 38751-2450 | 2018-06-14 |
| 1184125676 | Crystal Hope Williams | Physical Therapy Assistant | 121 E Baker St, Indianola, MS 38751-2450 | 2018-02-21 |
| 1871000695 | Taylor Ellis Wright | Physical Therapy Assistant | 121 E Baker St, Indianola, MS 38751-2450 | 2018-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649781253 | Greater Hearts Adult Daycare | Clinic/Center | 124 Curtis Street, Indianola, MS 38751 | 2017-10-23 |
| 1083139505 | Quality Family Care LLC | Nurse Practitioner | 310 Hwy 82 West, Suite D, Indianola, MS 38751 | 2017-08-05 |
| 1932641800 | Creative Image Personal Care Services LLC | Respite Care | 503 Hwy 82 East, Indianola, MS 38751 | 2016-11-09 |
| 1225580442 | St. John's Respite Care Services, LLC | In Home Supportive Care | 517 East Street, Indianola, MS 38751 | 2016-11-04 |
| 1992163588 | Rona Kaye Huey | Nurse Practitioner | 310 Highway 82 W Ste D, Indianola, MS 38751 | 2016-02-10 |
| 1952641201 | Julia R. Hill, Dmd, Pa | Dentist | 104 W. Gresham St., Indianola, MS 38751 | 2013-02-25 |
| 1649463977 | Kenneth C Beal Jr. | Dentist | 913 B.b. King Road, Indianola, MS 38751 | 2007-08-21 |
| 1922136688 | Lloyd Leon Patton Jr. | Pharmacist | 903 Highway 82 East, Building G, Indianola, MS 38751 | 2007-03-02 |
| 1770623506 | North Mississippi Foot Specialists PC | Durable Medical Equipment & Medical Supplies | 110 East Baker Street, Indianola, MS 38751 | 2007-02-08 |
| 1548311525 | Quality In Home Services Inc | Homemaker | 108 Martin Luther King, Indianola, MS 38751 | 2007-01-16 |
| Find all providers in zip 38751 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821420936 | South Sunflower County Hospital | General Acute Care Hospital | 110 E Baker St, Suite B, Indianola, MS 38751-2451 | 2013-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184073181 | 81msgs/sgcq | General Acute Care Hospital | 81msgs/sgcq, 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2016-06-09 |
| 1013396290 | Martin Hillard Mcmullan | General Acute Care Hospital | 2350 Cooper Rd, Flowood, MS 39232-6136 | 2015-05-21 |
| 1750771580 | Genesis Rehab | General Acute Care Hospital | 438 North St, Union, MS 39365-9506 | 2015-02-02 |
| 1003229469 | Robert J Cole | General Acute Care Hospital | 601 Meadowbrook Cir, Amory, MS 38821-1314 | 2014-06-03 |
| 1295151850 | Mary A. Doss | General Acute Care Hospital | 110 Napoleon Dr, Brandon, MS 39047-9004 | 2014-03-06 |
| 1467755744 | Biloxi Regional Medical Center | General Acute Care Hospital | 1104 Homestead Blvd, Gautier, MS 39553-4612 | 2010-12-08 |
| 1528371119 | University Physicians. Pllc | General Acute Care Hospital | 121 Beaufort Cir, Madison, MS 39110-7962 | 2010-07-23 |
| 1306047436 | Alliance Healthcare System | General Acute Care Hospital | 1430 Hwy4-east, Holly Springs, MS 38635 | 2007-05-29 |
| 1518168624 | Alliance Healthcare System | General Acute Care Hospital | 1430 Hwy 4 East, Holly Springs, MS 38635 | 2007-05-29 |
| 1043427206 | Alliance Healthcare System, Inc | General Acute Care Hospital | 1430 Highway 4 E, Holly Springs, MS 38635-2140 | 2007-05-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.