| Dhc-east Sunflower Elementary School | |
|
212 E Claiborne St Sunflower MS 38778-9640 | |
| (662) 569-3137 | |
| (662) 569-3309 |
| Full Name | Dhc-east Sunflower Elementary School |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 212 E Claiborne St, Sunflower, Mississippi |
| Authorized Official Name and Position | Myrtis Small (HR-CREDENTIALING) |
| Authorized Official Contact | 6627418889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dhc-east Sunflower Elementary School 702 Martin Luther King St Mound Bayou MS 38762-9314 Ph: (662) 741-8889 | Dhc-east Sunflower Elementary School 212 E Claiborne St Sunflower MS 38778-9640 Ph: (662) 569-3137 |
| NPI Number | 1750937959 |
|---|---|
| Provider Enumeration Date | 08/13/2019 |
| Last Update Date | 08/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750937959 | NPI | - | NPPES |
| 09013118 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |