NORTH SUNFLOWER MEDICAL CENTER (NPI# 1467585091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467585091 |
Entity Type | Organization |
Organization Name | NORTH SUNFLOWER MEDICAL CENTER |
Other Organization Name | WALTER B. CROOK NURSING FACILITY |
Practice Address |
840 N Oak Ave Ruleville MS 38771-3227 |
Practice Telephone | 6627562711 |
Practice Fax Number | 6627564114 |
Mailing Telephone | 6627562711 |
Mailing Fax Number | 6627564114 |
Enumeration Date | 2007-03-13 |
Last Update Date | 2020-06-08 |
Authorized Official Name | MR. JOSE DANIEL CEJA (CEO) |
Authorized Official Telephone | 6627562711 |
Is Organization Subpart | Y |
Parent Organization Name | NORTH SUNFLOWER MEDICAL CENTER |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 647 | MS | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | RADIOLOGY PRO FEES | C00159 | 01 |
MS | PHYSICIAN PRO FEES | C00727 | 01 |
MS | 00023150 | 05 |
Other Name | Type Code |
---|---|
Walter B. Crook Nursing Facility | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881001501 | North Sunflower Medical Center | Pharmacy | 860 N Oak Ave, Ruleville, MS 38771 | 2014-07-15 |
1386050920 | North Sunflower Medical Center | Hospice Care, Community Based | 105 E Floyce St, Ruleville, MS 38771-3915 | 2014-07-03 |
1548581184 | North Sunflower Medical Center | Clinic/Center | 101 Floyce St., Ruleville, MS 38771 | 2010-06-17 |
1881926996 | North Sunflower Medical Center | Optometrist | 202 S Ruby Ave, Ruleville, MS 38771-3802 | 2010-02-01 |
1376612895 | North Sunflower Medical Center | Durable Medical Equipment & Medical Supplies | 820 N Oak Ave, Ruleville, MS 38771-3215 | 2006-11-07 |
1548710510 | North Sunflower Medical Center | Clinic/Center | 860 N Oak Ave, Ruleville, MS 38771-3227 | 2016-10-13 |
1396049904 | North Sunflower Medical Center | Dentist | 102 N Ruby Ave, Ruleville, MS 38771-3940 | 2010-12-23 |
1104132174 | North Sunflower Medical Center | Nurse Anesthetist, Certified Registered | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2010-08-27 |
1689905499 | North Sunflower Medical Center | Optometrist | 505 Arnold Ave, Greenville, MS 38701-5320 | 2010-01-18 |
1396956926 | North Sunflower Medical Center | Radiology | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2007-05-25 |
Street Address |
840 N OAK AVE |
City | RULEVILLE |
State | MS |
Zip Code | 38771-3227 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699717249 | Samuel Dean Seeley | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2006-06-11 |
1023627122 | Kristen Cassidy Scott | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2020-07-24 |
1487271201 | Lajarvis Antwon Lewis | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2020-06-26 |
1184275133 | Kathryn Meredith James | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771 | 2019-09-21 |
1629627542 | Hannah Schlatter Farmer | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2019-09-04 |
1386203354 | Robert F Cox | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2019-06-12 |
1861058901 | Jane Critz Long | Dietitian, Registered | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2019-05-14 |
1396208708 | Ambroshia Hope | Registered Nurse | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2019-04-11 |
1013489756 | Cody Elizabeth Field | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2018-12-19 |
1649765223 | Nikita Marie Calvin | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2018-06-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881001501 | North Sunflower Medical Center | Pharmacy | 860 N Oak Ave, Ruleville, MS 38771 | 2014-07-15 |
1548581184 | North Sunflower Medical Center | Clinic/Center | 101 Floyce St., Ruleville, MS 38771 | 2010-06-17 |
1649442484 | Brooks Marlow Rizzo | Nurse Practitioner | 840a N. Oak Ave., Ruleville, MS 38771 | 2008-04-01 |
1427189570 | St. Johns Hospice of Mississippi, Inc. | Hospice, Inpatient | 106 Ruby Avenue, Ruleville, MS 38771 | 2007-03-08 |
1962444018 | Sandanna Hospice, Inc. | Hospice Care, Community Based | 105 Floyce Street, Ruleville, MS 38771-0365 | 2006-06-12 |
1376612895 | North Sunflower Medical Center | Durable Medical Equipment & Medical Supplies | 820 N Oak Ave, Ruleville, MS 38771-3215 | 2006-11-07 |
1548710510 | North Sunflower Medical Center | Clinic/Center | 860 N Oak Ave, Ruleville, MS 38771-3227 | 2016-10-13 |
1255405205 | Ruleville Nursing and Rehabiliation Center, LLC | Skilled Nursing Facility | 800 Stansel Dr, Ruleville, MS 38771-3320 | 2006-11-20 |
1003280702 | Leah Cori Gregory-johnson | Speech-Language Pathologist | 800 Stansel Dr, Ruleville, MS 38771-3320 | 2015-11-18 |
1124498340 | Tajda Cooper | Occupational Therapist | 800 Stansel Dr, Ruleville, MS 38771-3320 | 2015-09-30 |
Find all providers in zip 38771 |
Taxonomy Code | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255405205 | Ruleville Nursing and Rehabiliation Center, LLC | Skilled Nursing Facility | 800 Stansel Dr, Ruleville, MS 38771-3320 | 2006-11-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427575505 | Trend Health and Rehab of Carthage | Skilled Nursing Facility | 1101 E. Franklin Street, Carthage, MS 39051 | 2017-08-29 |
1053834747 | St. Catherine's Village, Inc | Skilled Nursing Facility | 200 Dominican Dr, Madison, MS 39110-8630 | 2017-07-25 |
1851839435 | Parker Medical Services, LLC | Skilled Nursing Facility | 1060 Lisa Ln, Terry, MS 39170-8092 | 2017-02-03 |
1114386687 | Genesis Healthcare | Skilled Nursing Facility | 2142 E Whitworth St, Hazlehurst, MS 39083-9277 | 2016-02-12 |
1003274150 | Vincent Huffstutler | Skilled Nursing Facility | 201 Mary Ellen Dr, Ripley, MS 38663-1658 | 2016-02-04 |
1942614219 | Adams Home Care | Skilled Nursing Facility | 225 Moore St, Pearl, MS 39208 | 2014-06-16 |
1861817603 | Meadowbrook Health & Rehab LLC | Skilled Nursing Facility | 211 Windmill Drive, Meridian, MS 39305 | 2014-03-04 |
1679819890 | Global Home Care, LLC | Skilled Nursing Facility | 4213 Pruitt Rd, West Point, MS 39773-4517 | 2012-12-14 |
1740526961 | Better Living Home Care, LLC | Skilled Nursing Facility | 1295 Simpson Park Rd, Weir, MS 39772-8805 | 2012-12-14 |
1700132065 | The Arbor | Skilled Nursing Facility | 600 S Pear Orchard Rd, Ridgeland, MS 39157-4221 | 2012-07-24 |
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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.