PIONEER HEALTH SERVICES OF MONROE COUNTY, INC (NPI# 1164670261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164670261 |
| Entity Type | Organization |
| Organization Name | PIONEER HEALTH SERVICES OF MONROE COUNTY, INC |
| Other Organization Name | PIONEER FAMILY MEDICAL OF CALEDONIA |
| Practice Address |
771 Main St Caledonia MS 39740-9999 |
| Mailing Address |
Po Box 1100 Magee MS 39111-1100 |
| Practice Telephone | 6623564621 |
| Mailing Telephone | 6018496440 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2009-11-24 |
| Authorized Official Name | MR. JOSEPH S MCNULTY (CEO) |
| Authorized Official Telephone | 6018496440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 01232348 | 05 |
| Other Name | Type Code |
|---|---|
| Pioneer Family Medical of Caledonia | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669724183 | Pioneer Health Services of Monroe County, Inc | Clinic/Center | 502 S Chestnut St, Aberdeen, MS 39730-3337 | 2012-10-08 |
| 1750536090 | Pioneer Health Services of Monroe County, Inc | Clinic/Center | 1506 Highway 278 E, Amory, MS 38821-5918 | 2008-12-01 |
| 1790864577 | Pioneer Health Services of Monroe County, Inc | Clinic/Center | 502 Jackson St Ste 4, Aberdeen, MS 39730-3300 | 2006-11-03 |
| 1356362917 | Pioneer Health Services of Monroe County, Inc | General Acute Care Hospital | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2006-07-21 |
| 1083658595 | Pioneer Health Services of Monroe County, Inc | Clinic/Center | 500 S Chestnut St, Aberdeen, MS 39730-3337 | 2006-06-15 |
| Street Address |
771 MAIN ST |
| City | CALEDONIA |
| State | MS |
| Zip Code | 39740-9999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851792626 | Amanda Fondren | Nurse Practitioner | 171 South St, Caledonia, MS 39740 | 2014-09-11 |
| 1184056285 | Jrco, LLC | Specialist | 9692 Wolfe Rd, Caledonia, MS 39740 | 2013-07-31 |
| 1174723209 | Leslie Herndon Singley | Physical Therapist | 91 Gurlie Malone Rd., Caledonia, MS 39740 | 2007-07-18 |
| 1922056159 | Alvin Ray Beezley Jr. | Internal Medicine | 9692 Wolf Road, Caledonia, MS 39740 | 2006-05-04 |
| 1013426329 | Fig Leaf, LLC | Nurse Practitioner | 171 South St, Caledonia, MS 39740 | 2017-09-29 |
| 1013294461 | Caledonia Pharmacy LLC | Pharmacy | 741 Main St, Caledonia, MS 39740-7609 | 2011-11-14 |
| 1528577012 | Lisa Jordan Hudson | Nurse Practitioner | 171 South St, Caledonia, MS 39740-8587 | 2017-09-27 |
| 1104100858 | Joachim Yves Mckinney | Pharmacist | 4454 Cal Steens Rd, Caledonia, MS 39740-8677 | 2011-09-29 |
| 1770872459 | Misty S Glasgow | Occupational Therapist | 989 Flint Hill Rd, Caledonia, MS 39740-9026 | 2011-04-01 |
| 1811152317 | Jamie Boyd Whitney | Speech-Language Pathologist | 368 Martin Rd, Caledonia, MS 39740-9502 | 2008-07-23 |
| Find all providers in zip 39740 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730786120 | Ochsner Medical Center - Hancock, LLC | Clinic/Center | 2274 Highway 43 S Ste 200, Picayune, MS 39466-8141 | 2020-10-08 |
| 1306460282 | Covington County Hospital | Clinic/Center | 105 Eaton St, Taylorsville, MS 39168-5614 | 2020-06-05 |
| 1871117747 | Covington County Hospital | Clinic/Center | 1039 Highway 42 Ste C, Sumrall, MS 39482-4478 | 2020-06-05 |
| 1194365338 | Bounds Family Medical | Clinic/Center | 870 Main St Ste A, Fayette, MS 39069-5695 | 2020-01-15 |
| 1720649577 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 19 Third St, Belmont, MS 38827 | 2019-06-24 |
| 1255999611 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 400 3rd Ave 32 West, New Houlka, MS 38850 | 2019-05-31 |
| 1598238545 | South Sunflower County Hospital | Clinic/Center | 1001 West Delta, Moorhead, MS 38761 | 2019-01-02 |
| 1790272185 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 670 Ms-178, Suite 5, Sherman, MS 38869 | 2018-04-20 |
| 1124515515 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 2200 5th St N, Columbus, MS 39705-2212 | 2018-04-20 |
| 1205323698 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 815 2nd Ave N, Columbus, MS 39701-4703 | 2018-04-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.