| Sunflower Rural Health Clinic | |
|
840 N Oak Ave Ruleville MS 38771-3227 | |
| (662) 756-4024 | |
| (662) 756-4023 |
| Full Name | Sunflower Rural Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 840 N Oak Ave, Ruleville, Mississippi |
| Authorized Official Name and Position | Jose D. Ceja (CEO) |
| Authorized Official Contact | 6627562711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunflower Rural Health Clinic 840 N Oak Ave Ruleville MS 38771-3227 Ph: (662) 756-4024 | Sunflower Rural Health Clinic 840 N Oak Ave Ruleville MS 38771-3227 Ph: (662) 756-4024 |
| NPI Number | 1154488393 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 06/08/2020 |
| Medicare PECOS PAC ID | 7618932294 |
|---|---|
| Medicare Enrollment ID | O20100422001127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154488393 | NPI | - | NPPES |
| 9013863 | Medicaid | MS | |
| 09013627 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 11-168 (Mississippi) | Primary |
Delta Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 410 L F Packer Dr, Ruleville, MS 38771 Phone: 662-756-2622 Fax: 662-741-2700 |