NPIMap

Organization Active NPI

North Sunflower Medical Center

Doing business as Sunflower Greenwood Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Greenwood, MS
National Provider Identifier
1730903287
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NORTH SUNFLOWER MEDICAL CENTER
Doing business as
Sunflower Greenwood Medical Equipment
Practice address
209 W Park Ave
Greenwood, MS 38930-3008
Phone
(662) 219-2763
Fax
(662) 219-2766
NPI assigned
Nov 12, 2024
Last updated
Nov 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tracie Smith
Title
Billing Manager
Phone
(662) 756-1660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

209 W Park Ave
Greenwood, MS 38930-3008

Mailing address

209 W Park Ave
Greenwood, MS 38930-3008
Phone (662) 219-2763

Other names 1

  • Sunflower Greenwood Medical Equipment Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250625001815 MS DME Supplier - Medical Supply Company With Respiratory Therapist 7618932294 Practice locations: Greenwood, MS

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
North Sunflower Medical Center209 W Park Ave, Greenwood, MS 38930-3008(662) 219-2763 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Patient Lifts|Po… Accepts assignmentParticipating since Jun 14, 2017

National Provider Directory

National Provider Directory
Tax ID family
North Sunflower Co Hosp19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

104 W Main
Charleston, MS 38921
Phone (662) 647-0653

209 W Park Ave
Greenwood, MS 38930
Phone (662) 219-2763

202 S Ruby Ave
Ruleville, MS 38771
Phone (662) 756-2500

840 N Oak Ave
#B
Ruleville, MS 38771
Phone (662) 756-2711

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
North Sunflower Medical CenterRuleville, MS, CCN 251318 Hospital Operational/Managerial Control (100%) Oct 1, 2004
Sunflower Rural Health CenterRuleville, MS, CCN 253400 Rural health clinic Operational/Managerial Control Oct 1, 2014
Sunflower Greenwood ClinicGreenwood, MS, CCN 258686 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 31, 2023

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 103

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 103

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1730903287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W PARK AVE",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389303008",
            "telephone_number": "662-219-2763",
            "fax_number": "662-219-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W PARK AVE",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389303008",
            "telephone_number": "662-219-2763",
            "fax_number": "662-219-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SUNFLOWER MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "662-756-1660"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunflower Greenwood Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunflower Greenwood Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenwood, MS

Sources for this page

Verify at the official NPI Registry.