SOUTH SUNFLOWER COUNTY HOSPITAL (NPI# 1790993749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790993749 |
| Entity Type | Organization |
| Organization Name | SOUTH SUNFLOWER COUNTY HOSPITAL |
| Practice Address |
121 E Baker St Indianola MS 38751-2450 |
| Practice Telephone | 6628875235 |
| Practice Fax Number | 6628874111 |
| Mailing Telephone | 6628875235 |
| Mailing Fax Number | 6628874111 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2010-10-21 |
| Authorized Official Name | MR. H J BLESSITT (ADMINISTRATOR) |
| Authorized Official Telephone | 6628875235 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09013157 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598238545 | South Sunflower County Hospital | Clinic/Center | 1001 West Delta, Moorhead, MS 38761 | 2019-01-02 |
| 1023050564 | South Sunflower County Hospital | Clinic/Center | 110 E Baker St, Suite A, Indianola, MS 38751-2451 | 2006-06-11 |
| 1184679292 | South Sunflower County Hospital | General Acute Care Hospital | 121 E Baker St, Indianola, MS 38751-2450 | 2006-05-24 |
| 1336706803 | South Sunflower County Hospital | Registered Nurse | 121 E Baker St, Indianola, MS 38751-2450 | 2019-05-21 |
| 1821420936 | South Sunflower County Hospital | General Acute Care Hospital | 110 E Baker St, Suite B, Indianola, MS 38751-2451 | 2013-07-31 |
| 1437321361 | South Sunflower County Hospital | Family Medicine | 122 E Baker St, Indianola, MS 38751-2451 | 2008-04-01 |
| 1871701821 | South Sunflower County Hospital | Psychiatry & Neurology | 121 E Baker St, Indianola, MS 38751-2450 | 2007-05-21 |
| 1326256371 | South Sunflower County Hospital | Radiology | 121 E Baker St, Indianola, MS 38751-2450 | 2007-05-21 |
| 1972711927 | South Sunflower County Hospital | Emergency Medicine | 121 E Baker St, Indianola, MS 38751-2450 | 2007-05-21 |
| 1407064454 | South Sunflower County Hospital | Anesthesiology | 121 E Baker St, Indianola, MS 38751-2450 | 2007-05-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTH SUNFLOWER COUNTY HOSPITAL | 121 E Baker St, Indianola, MS 38751-2450 |
| Street Address |
121 E BAKER ST |
| City | INDIANOLA |
| State | MS |
| Zip Code | 38751-2450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184679292 | South Sunflower County Hospital | General Acute Care Hospital | 121 E Baker St, Indianola, MS 38751-2450 | 2006-05-24 |
| 1962022913 | Margaret Swartzfager | Speech-Language Pathologist | 121 E Baker St, Indianola, MS 38751-2450 | 2020-04-20 |
| 1922628981 | Christine Herrington | Physical Therapist | 121 E Baker St, Indianola, MS 38751-2450 | 2020-04-20 |
| 1336709872 | Hadonica H Murphy | Family Medicine | 121 E Baker St, Indianola, MS 38751-2450 | 2019-06-17 |
| 1336706803 | South Sunflower County Hospital | Registered Nurse | 121 E Baker St, Indianola, MS 38751-2450 | 2019-05-21 |
| 1346705514 | Chelsea Needham | Physical Therapist | 121 E Baker St, Indianola, MS 38751-2450 | 2019-02-01 |
| 1073078275 | Elysia Peterson | Physical Therapist | 121 E Baker St, Indianola, MS 38751-2450 | 2019-02-01 |
| 1144798646 | Elizabeth Lacey Brown | Occupational Therapist | 121 E Baker St, Indianola, MS 38751-2450 | 2018-11-02 |
| 1518450410 | Elizabeth Whites | Nurse Practitioner | 121 E Baker St, Indianola, MS 38751-2450 | 2018-06-14 |
| 1184125676 | Crystal Hope Williams | Physical Therapy Assistant | 121 E Baker St, Indianola, MS 38751-2450 | 2018-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649781253 | Greater Hearts Adult Daycare | Clinic/Center | 124 Curtis Street, Indianola, MS 38751 | 2017-10-23 |
| 1083139505 | Quality Family Care LLC | Nurse Practitioner | 310 Hwy 82 West, Suite D, Indianola, MS 38751 | 2017-08-05 |
| 1932641800 | Creative Image Personal Care Services LLC | Respite Care | 503 Hwy 82 East, Indianola, MS 38751 | 2016-11-09 |
| 1225580442 | St. John's Respite Care Services, LLC | In Home Supportive Care | 517 East Street, Indianola, MS 38751 | 2016-11-04 |
| 1992163588 | Rona Kaye Huey | Nurse Practitioner | 310 Highway 82 W Ste D, Indianola, MS 38751 | 2016-02-10 |
| 1952641201 | Julia R. Hill, Dmd, Pa | Dentist | 104 W. Gresham St., Indianola, MS 38751 | 2013-02-25 |
| 1649463977 | Kenneth C Beal Jr. | Dentist | 913 B.b. King Road, Indianola, MS 38751 | 2007-08-21 |
| 1922136688 | Lloyd Leon Patton Jr. | Pharmacist | 903 Highway 82 East, Building G, Indianola, MS 38751 | 2007-03-02 |
| 1770623506 | North Mississippi Foot Specialists PC | Durable Medical Equipment & Medical Supplies | 110 East Baker Street, Indianola, MS 38751 | 2007-02-08 |
| 1548311525 | Quality In Home Services Inc | Homemaker | 108 Martin Luther King, Indianola, MS 38751 | 2007-01-16 |
| Find all providers in zip 38751 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326256371 | South Sunflower County Hospital | Radiology | 121 E Baker St, Indianola, MS 38751-2450 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790720779 | Jason Kendell Morris | Radiology | 618 Frederick Dr, Cleveland, MS 38732-2006 | 2006-06-16 |
| 1811229057 | Leena Pande | Radiology | 14231 Seaway Rd Ste 5003, Gulfport, MS 39503-4660 | 2010-02-12 |
| 1033318985 | Sunder Jagwani Md Pa | Radiology | 1401 River Rd, Greenwood, MS 38930-4030 | 2007-07-12 |
| 1902000375 | Simpson Community Healthcare, Inc. | Radiology | 1842 Simpson Highway 149, Mendenhall, MS 39114-3438 | 2007-06-12 |
| 1487770152 | Oktibbeha County Hospital | Radiology | 400 Hospital Rd, Starkville, MS 39759-2163 | 2007-03-22 |
| 1457491383 | Sunder H Jagwani | Radiology | 1401 River Rd, Greenwood, MS 38930-4030 | 2007-02-08 |
| 1528158532 | Phc-cleveland Inc | Radiology | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2006-10-13 |
| 1407941339 | Vicente Co Luciano Jr. | Radiology | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2006-10-04 |
| 1679583728 | William Douglas Routh | Radiology | 969 Lakeland Dr, Jackson, MS 39216-4606 | 2006-08-09 |
| 1912913757 | Dana Chard | Radiology | 227 S 13th Ave, Laurel, MS 39440-4225 | 2006-08-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.