| North Sunflower Medical Center | |
|
840 N Oak Ave Ruleville MS 38771-3227 | |
| (662) 756-2711 | |
| (662) 756-4114 |
| Full Name | North Sunflower Medical Center |
|---|---|
| Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
| Location | 840 N Oak Ave, Ruleville, Mississippi |
| Authorized Official Name and Position | Jose Daniel Ceja (ADMINISTRATOR) |
| Authorized Official Contact | 6627562711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Sunflower Medical Center Po Box 369 Ruleville MS 38771-0369 Ph: (662) 756-2711 | North Sunflower Medical Center 840 N Oak Ave Ruleville MS 38771-3227 Ph: (662) 756-2711 |
| NPI Number | 1235346230 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 06/08/2020 |
| Certification Date | 06/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235346230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 11-168 (Mississippi) | Primary |