| South Sunflower County Hospital | |
|
122 E Baker St Indianola MS 38751-2451 | |
| (662) 887-2212 | |
| (662) 887-1279 |
| Full Name | South Sunflower County Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 122 E Baker St, Indianola, Mississippi |
| Authorized Official Name and Position | Jim Woods (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 6628872212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Sunflower County Hospital 122 E Baker St Indianola MS 38751-2451 Ph: (662) 887-2212 | South Sunflower County Hospital 122 E Baker St Indianola MS 38751-2451 Ph: (662) 887-2212 |
| NPI Number | 1245248699 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6709771637 |
|---|---|
| Medicare Enrollment ID | O20050808001033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245248699 | NPI | - | NPPES |
| 09015873 | Medicaid | MS | |
| 08904503 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Mississippi) | Primary |
South Sunflower County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 E Baker St, Suite A, Indianola, MS 38751 Phone: 662-887-7081 Fax: 662-887-3920 | |
Delta Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 College Ave, Indianola, MS 38751 Phone: 662-884-1260 Fax: 662-741-2700 | |
South Sunflower County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 E Baker St, Indianola, MS 38751 Phone: 662-887-2212 Fax: 662-887-1279 | |
South Sunflower County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 E Baker St, Indianola, MS 38751 Phone: 662-887-7339 Fax: 662-887-3920 | |
Indianola Wellness Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 Main St, Indianola, MS 38751 Phone: 662-303-3743 | |
American Psych Associates, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 612 Sunflower Avenue Ext, Suite 14, Indianola, MS 38751 Phone: 601-720-7605 Fax: 866-495-3240 |