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CAH251318-02 NORTH SUNFLOWER MEDICAL CENTER (Active)
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Main Details
Name
NORTH SUNFLOWER MEDICAL CENTER
Subdivision Name
North Sunflower Pulmonary Clinic - Pulmonary
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH251318-02
Medicare Provider Number
251318
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/16/2023
Participating Start Date
4/1/2023
Participating Approval Date
1/18/2023
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
North Sunflower Medical Center
Sam Miller, Chief Executive Officer
(662) 721-0186
Primary Contact
North Sunflower Medical Center
Mike Gilbow, Pharmacy Director
(662) 756-4381
Addresses
Street Address
820 North Oak Avenue
Ruleville, MS 38771
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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