SOUTH SUNFLOWER COUNTY HOSPITAL (NPI# 1821420936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821420936 |
Entity Type | Organization |
Organization Name | SOUTH SUNFLOWER COUNTY HOSPITAL |
Other Organization Name | DELTA PRIMARY CARE RURAL HEALTH CLINIC |
Practice Address |
110 E Baker St Suite B Indianola MS 38751-2451 |
Mailing Address |
110 E Baker St Indianola MS 38751-2451 |
Practice Telephone | 6628877339 |
Practice Fax Number | 6628873920 |
Mailing Telephone | 6628875235 |
Mailing Fax Number | 6628873920 |
Enumeration Date | 2013-07-31 |
Last Update Date | 2020-02-28 |
Authorized Official Name | MR. HAROLD JAMES BLESSITT (ADMINISTRATOR) |
Authorized Official Telephone | 6628875235 |
Is Organization Subpart | Y |
Parent Organization Name | SOUTH SUNFLOWER COUNTY HOSPITAL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 282N00000X | General Acute Care Hospital | 11-102 | MS | Hospitals |
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Delta Primary Care Rural Health Clinic | Doing Business As Name - Organization |
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 |
1184679292 | South Sunflower County Hospital | General Acute Care Hospital | 121 E Baker St, Indianola, MS 38751-2450 | 2006-05-24 |
1336706803 | South Sunflower County Hospital | Registered Nurse | 121 E Baker St, Indianola, MS 38751-2450 | 2019-05-21 |
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 |
110 E BAKER ST SUITE B |
City | INDIANOLA |
State | MS |
Zip Code | 38751-2451 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023050564 | South Sunflower County Hospital | Clinic/Center | 110 E Baker St, Suite A, Indianola, MS 38751-2451 | 2006-06-11 |
1487685897 | South Sunflower County Hospital | Clinic/Center | 110 E Baker St, Indianola, MS 38751-2451 | 2006-07-05 |
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 | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649429135 | Patients Choice Medical Center of Humphreys County, LLC | Clinic/Center | 310 Highway 82 W, Suite A, Indianola, MS 38751-2150 | 2008-09-09 |
1316034846 | Cambridge Memorial Hospital Inc | Clinic/Center | 119 South 4th, Indianola, NE 69034 | 2006-10-06 |
1568711372 | American Psych Associates, Inc | Clinic/Center | 612 Sunflower Avenue Ext, Suite 14, Indianola, MS 38751-2333 | 2012-09-07 |
1245248699 | South Sunflower County Hospital | Clinic/Center | 122 E Baker St, Indianola, MS 38751-2451 | 2006-08-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730786120 | Ochsner Medical Center - Hancock, LLC | Clinic/Center | 2274 Highway 43 S Ste 200, Picayune, MS 39466-8141 | 2020-10-08 |
1306460282 | Covington County Hospital | Clinic/Center | 105 Eaton St, Taylorsville, MS 39168-5614 | 2020-06-05 |
1871117747 | Covington County Hospital | Clinic/Center | 1039 Highway 42 Ste C, Sumrall, MS 39482-4478 | 2020-06-05 |
1194365338 | Bounds Family Medical | Clinic/Center | 870 Main St Ste A, Fayette, MS 39069-5695 | 2020-01-15 |
1720649577 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 19 Third St, Belmont, MS 38827 | 2019-06-24 |
1255999611 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 400 3rd Ave 32 West, New Houlka, MS 38850 | 2019-05-31 |
1598238545 | South Sunflower County Hospital | Clinic/Center | 1001 West Delta, Moorhead, MS 38761 | 2019-01-02 |
1790272185 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 670 Ms-178, Suite 5, Sherman, MS 38869 | 2018-04-20 |
1124515515 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 2200 5th St N, Columbus, MS 39705-2212 | 2018-04-20 |
1205323698 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 815 2nd Ave N, Columbus, MS 39701-4703 | 2018-04-20 |
Find all providers with the same taxonomy |
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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.