Provider Demographics
NPI:1598238545
Name:SOUTH SUNFLOWER COUNTY HOSPITAL
Entity Type:Organization
Organization Name:SOUTH SUNFLOWER COUNTY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-887-5235
Mailing Address - Street 1:1001 WEST DELTA
Mailing Address - Street 2:
Mailing Address - City:MOORHEAD
Mailing Address - State:MS
Mailing Address - Zip Code:38761
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1001 WEST DELTA
Practice Address - Street 2:
Practice Address - City:MOORHEAD
Practice Address - State:MS
Practice Address - Zip Code:38761
Practice Address - Country:US
Practice Address - Phone:662-246-0099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOUTH SUNFLOWER COUNTY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-02
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health