Provider Demographics
NPI:1730903287
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:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TRACIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-756-1660
Mailing Address - Street 1:209 W PARK AVE
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:38930-3008
Mailing Address - Country:US
Mailing Address - Phone:662-219-2763
Mailing Address - Fax:662-219-2766
Practice Address - Street 1:209 W PARK AVE
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:MS
Practice Address - Zip Code:38930-3008
Practice Address - Country:US
Practice Address - Phone:662-219-2763
Practice Address - Fax:662-219-2766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-12
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies