PIONEER HEALTH SERVICES OF MONROE COUNTY, INC (NPI# 1669724183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669724183 |
| Entity Type | Organization |
| Organization Name | PIONEER HEALTH SERVICES OF MONROE COUNTY, INC |
| Other Organization Name | PIONEER PEDIATRIC CLINIC |
| Practice Address |
502 S Chestnut St Aberdeen MS 39730-3337 |
| Practice Telephone | 6018496440 |
| Practice Fax Number | 6018491318 |
| Mailing Telephone | 6018496440 |
| Mailing Fax Number | 6018491318 |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2012-10-08 |
| Authorized Official Name | MR. JOSEPH SYLVESTER MCNULTY III (CEO) |
| Authorized Official Telephone | 6018496440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 13-033 | MS | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pioneer Pediatric Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1164670261 | Pioneer Health Services of Monroe County, Inc | Clinic/Center | 771 Main St, Caledonia, MS 39740-9999 | 2008-09-03 |
| 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 |
502 S CHESTNUT ST |
| City | ABERDEEN |
| State | MS |
| Zip Code | 39730-3337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831728633 | Clay County Medical Corporation | Surgery | 502 S Chestnut St, Aberdeen, MS 39730-3337 | 2020-04-03 |
| 1265965701 | Lifebrite Hospital Group of Aberdeen LLC | Clinic/Center | 502 S Chestnut St, Aberdeen, MS 39730-3337 | 2017-04-11 |
| 1720511751 | Lifebrite Hospital Group of Aberdeen LLC | Clinic/Center | 502 S Chestnut St, Aberdeen, MS 39730-3337 | 2017-04-06 |
| 1760880785 | Pioneer Health Services of Monroe County, Inc. | Clinic/Center | 502 S Chestnut St, Aberdeen, MS 39730-3337 | 2014-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083767271 | Aberdeen Health Clinic Inc | Internal Medicine | 501 Chestnut Street, Aberdeen, MS 39730 | 2007-01-19 |
| 1205992153 | Woodie Darnell Herron | Family Medicine | 200 East Commerce Street, Aberdeen, MS 39730 | 2006-12-28 |
| 1578638532 | Leonard J Goodgame Jr. | Dentist | 207 West Commerce, Aberdeen, MS 39730 | 2006-11-22 |
| 1295813210 | Thomas Banks Shepherd Jr. | Dentist | 116 E Washington Street, Aberdeen, MS 39730 | 2006-11-01 |
| 1619490810 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 200 Highway 145 N, Aberdeen, MS 39730 | 2017-07-19 |
| 1538454855 | Mark Fitzhugh Breland | Dentist | 513 W Commerce St, Aberdeen, MS 39730 | 2011-06-15 |
| 1649446212 | Cheyenne's Total Care/transporation | Non-emergency Medical Transport (VAN) | 122 W Commerce St, Aberdeen, MS 39730 | 2008-05-05 |
| 1386689438 | Pioneer Health Services of Monroe County, Inc. | Clinic/Center | 502 Jackson Street, Suite 5, Aberdeen, MS 39730-0000 | 2006-06-20 |
| 1578675328 | Renal Care Group Tupelo, LLC | Clinic/Center | 308 Highway 8 W, Aberdeen, MS 39730-2106 | 2006-08-31 |
| 1881006807 | Roy Donald Duncan | Urology | 300 Forrest Hill Cir, Aberdeen, MS 39730-2147 | 2014-05-26 |
| Find all providers in zip 39730 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538697198 | Swansons Walk-in Clinic LLC | Clinic/Center | 217 N Boone St, Aberdeen, WA 98520-7612 | 2017-05-26 |
| 1265965701 | Lifebrite Hospital Group of Aberdeen LLC | Clinic/Center | 502 S Chestnut St, Aberdeen, MS 39730-3337 | 2017-04-11 |
| 1720511751 | Lifebrite Hospital Group of Aberdeen LLC | Clinic/Center | 502 S Chestnut St, Aberdeen, MS 39730-3337 | 2017-04-06 |
| 1477929495 | Pioneer Health Services of Monroe County, Inc. | Clinic/Center | 502 Jackson St, Suite 5, Aberdeen, MS 39730-3300 | 2015-08-13 |
| 1760880785 | Pioneer Health Services of Monroe County, Inc. | Clinic/Center | 502 S Chestnut St, Aberdeen, MS 39730-3337 | 2014-12-08 |
| 1205090206 | Avera St. Luke's | Clinic/Center | 310 S Penn St Ste 203, Aberdeen, SD 57401-4553 | 2008-07-18 |
| 1992904213 | Winkler Chiropractic Clinic | Clinic/Center | 803 S Main St, Aberdeen, SD 57401-6018 | 2007-07-16 |
| 1265522932 | Grays Harbor Vision Clinic, Inc. | Clinic/Center | 301 N Broadway St, Aberdeen, WA 98520-3933 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080337 | Traditions Hospice of Biloxi, LLC | Clinic/Center | 243 Beauvoir Rd Ste B, Biloxi, MS 39531-4008 | 2020-10-15 |
| 1386242097 | Traditions Hospice of Ridgeland, LLC | Clinic/Center | 680 Highway 51 Ste L, Ridgeland, MS 39157-2103 | 2020-10-14 |
| 1346848694 | Hayco LLC | Clinic/Center | 425 S Jackson St, Brookhaven, MS 39601-3817 | 2020-10-09 |
| 1023620135 | Neshoba County General Hospital-nursing Home | Clinic/Center | 406 Stribling St, Philadelphia, MS 39350-3344 | 2020-08-19 |
| 1023628245 | Durrett Health Care LLC | Clinic/Center | 1515 Munsford Dr, New Albany, MS 38652-7407 | 2020-08-03 |
| 1124644968 | First Choice Family Medical Clinic, LLC | Clinic/Center | 50 Highway 388, Brooksville, MS 39739 | 2020-06-17 |
| 1104447507 | Grace & Mercy Healthcare Center | Clinic/Center | 131 Lexington St, Pickens, MS 39146-3914 | 2020-04-27 |
| 1437788908 | Wellness Center | Clinic/Center | 1727 6th St, Meridian, MS 39301-5249 | 2020-04-06 |
| 1669018008 | Maximum Care After Hours Clinic, LLC | Clinic/Center | 212 Highway 61, Shaw, MS 38773-3877 | 2019-11-20 |
| 1598316895 | Florence Health Complex, LLC | Clinic/Center | 130 S Church St, Florence, MS 39073-8478 | 2019-09-27 |
| 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.