Provider Demographics
NPI:1386050920
Name:NORTH SUNFLOWER MEDICAL CENTER
Entity type:Organization
Organization Name:NORTH SUNFLOWER MEDICAL CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:CEJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-756-1601
Mailing Address - Street 1:105 E FLOYCE ST
Mailing Address - Street 2:
Mailing Address - City:RULEVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38771-3915
Mailing Address - Country:US
Mailing Address - Phone:662-756-1782
Mailing Address - Fax:662-756-1700
Practice Address - Street 1:105 E FLOYCE ST
Practice Address - Street 2:
Practice Address - City:RULEVILLE
Practice Address - State:MS
Practice Address - Zip Code:38771-3915
Practice Address - Country:US
Practice Address - Phone:662-756-1782
Practice Address - Fax:662-756-1700
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTH SUNFLOWER MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-07-03
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based