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NPI Code Detail

MEDICARE: PIONEER HEALTH SERVICES OF MONROE COUNTY, INC.

MEDICARE: PIONEER HEALTH SERVICES OF MONROE COUNTY, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282NC0060XCritical Access Hospital3451MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194047241
Entity Type Code : Organization
Provider Name (Legal Business Name) : PIONEER HEALTH SERVICES OF MONROE COUNTY, INC.
Provider Business Mailing Address
First Line : 400 S CHESTNUT ST
Second Line :
City : ABERDEEN
State : MS
Zip : 39730-3335
Country : US
Telephone Number : 662-369-2455
Fax Number : 662-369-7998
Provider Business Practice Location Address
First Line : 400 S CHESTNUT ST
Second Line :
City : ABERDEEN
State : MS
Zip : 39730-3335
Country : US
Telephone Number : 662-369-2455
Fax Number : 662-369-7998
Authorized Official
Title or Position : CEO
Name : MR. JOSEPH S MCNULTY III
Credential :
Telephone Number : 601-849-4112
Provider Enumeration Date : 02/17/2010
Last Update Date : 02/17/2010

Similar Medicare Providers

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Practice Location Address:
400 S CHESTNUT ST
ABERDEEN, MS
39730-3335
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Practice Fax: 662-319-2125
1609891993 — PIONEER HEALTH SERVICES OF MONROE COUNTY, INC.
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400 S CHESTNUT ST
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1356362917 — PIONEER HEALTH SERVICES OF MONROE COUNTY, INC
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400 S CHESTNUT ST
ABERDEEN, MS
39730-3335
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Practice Fax: 662-319-2125
1467797977 — JAMES ALAN EASTER NP-C
Practice Location Address:
400 S CHESTNUT ST
ABERDEEN, MS
39730-3335
Practice Phone: 662-369-2040
Practice Fax:
1750789863 — SHELIA GANN NURSE PRACTITIONER-C
Practice Location Address:
400 S CHESTNUT ST
ABERDEEN, MS
39730-3335
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Practice Fax:
1073993754 — MRS. BONNY MARIE BRAY O.T.R/L
Practice Location Address:
400 S CHESTNUT ST
ABERDEEN, MS
39730-3335
Practice Phone: 662-369-8200
Practice Fax: 662-369-8754

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