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SCH250095-00 South Sunflower County Hospital (Active)
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Main Details
Name
South Sunflower County Hospital
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH250095-00
Medicare Provider Number
250095
Additional Details
Current Program Status
Active
Registration Date
7/1/2013
Participating Start Date
10/1/2013
Participating Approval Date
9/11/2013
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
South Sunflower County Hospital
Courtney Phillips, Administrator/CFO
(662) 635-7200
Primary Contact
South Sunflower County Hospital
Britney Jacobs, Risk Manager
(662) 635-7205
Addresses
Street Address
121 East Baker Street
Indianola, MS 38751-2462
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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