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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 Hospital16-230MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710927215
Entity Type Code : Organization
Provider Name (Legal Business Name) : PIONEER HEALTH SERVICES OF MONROE COUNTY, INC.
Provider Business Mailing Address
First Line : PO BOX 1100
Second Line :
City : MAGEE
State : MS
Zip : 39111-1100
Country : US
Telephone Number : 601-849-6440
Fax Number : 601-849-7557
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 : 662-319-2125
Authorized Official
Title or Position : PRESIDENT
Name : MR. JOSEPH S. MCNULTY III
Credential : CRT
Telephone Number : 601-849-4112
Provider Enumeration Date : 06/07/2006
Last Update Date : 06/02/2008

Similar Medicare Providers

1609891993 — PIONEER HEALTH SERVICES OF MONROE COUNTY, INC.
Practice Location Address:
400 S CHESTNUT ST
ABERDEEN, MS
39730-3335
Practice Phone: 662-369-2455
Practice Fax: 662-319-2125
1356362917 — PIONEER HEALTH SERVICES OF MONROE COUNTY, INC
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400 S CHESTNUT ST
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1194047241 — PIONEER HEALTH SERVICES OF MONROE COUNTY, INC.
Practice Location Address:
400 S CHESTNUT ST
ABERDEEN, MS
39730-3335
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Practice Fax: 662-369-7998
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

Directions to “PIONEER HEALTH SERVICES OF MONROE COUNTY, INC. ” Practice Location

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