Provider Demographics
NPI:1356472666
Name:SUNFLOWER MEDICAL EQUIPMENT, INC.
Entity Type:Organization
Organization Name:SUNFLOWER MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:S
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:662-756-0928
Mailing Address - Street 1:128 PENNY CIR
Mailing Address - Street 2:
Mailing Address - City:SUNFLOWER
Mailing Address - State:MS
Mailing Address - Zip Code:38778-9762
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:128 PENNY CIR
Practice Address - Street 2:
Practice Address - City:SUNFLOWER
Practice Address - State:MS
Practice Address - Zip Code:38778-9762
Practice Address - Country:US
Practice Address - Phone:662-756-0928
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies