BOA VIDA HOSPITAL OF ABERDEEN, MS, LLC (NPI# 1699262089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699262089 |
Entity Type | Organization |
Organization Name | BOA VIDA HOSPITAL OF ABERDEEN, MS, LLC |
Other Organization Name | MRH MEDICAL GROUP, STARKVILLE |
Practice Address |
900 Stark Rd Starkville MS 39759-3613 |
Mailing Address |
10996 Four Seasons Pl Ste 100a Crown Point IN 46307-8685 |
Practice Telephone | 6623692455 |
Enumeration Date | 2018-04-20 |
Last Update Date | 2019-01-04 |
Authorized Official Name | DR. KIRNJOT SINGH (PRESIDENT) |
Authorized Official Telephone | 8883397339 |
Is Organization Subpart | Y |
Parent Organization Name | BOA VIDA HOSPITAL OF ABERDEEN, MS, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
MRH Medical Group, Starkville | Other Name - Individual/Organization |
MRH Medical Group, Starkville HWY 182 | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720649577 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 19 Third St, Belmont, MS 38827 | 2019-06-24 |
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 |
1245757301 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 502 Jackson St Ste 5, Aberdeen, MS 39730-3303 | 2017-08-29 |
1063076511 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 508 Alcorn Dr, Corinth, MS 38834-9392 | 2019-04-30 |
1427612183 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 1495 Maple Rd, Nettleton, MS 38858-6026 | 2019-04-29 |
1336703099 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 116 Medical Center Dr, West Point, MS 39773-0428 | 2019-04-29 |
1982191367 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 815 Childs St, Corinth, MS 38834 | 2018-04-20 |
1710405741 | Boa Vida Hospital of Aberdeen, Ms, LLC | Medicare Defined Swing Bed Unit | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2017-08-30 |
Street Address |
900 STARK RD |
City | STARKVILLE |
State | MS |
Zip Code | 39759-3613 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073628004 | Baze Pharmacy LLC | Pharmacy | 900 Stark Rd, Starkville, MS 39759-3613 | 2006-08-20 |
1497389902 | Lydia Ruth Rice | Nurse Practitioner | 900 Stark Rd, Starkville, MS 39759-3613 | 2020-02-24 |
1992273072 | Ernestine Ivy | Nurse Practitioner | 900 Stark Rd, Starkville, MS 39759-3613 | 2018-11-07 |
1265921613 | Baze Pharmacy LLC | Pharmacist | 900 Stark Rd, Starkville, MS 39759-3613 | 2018-05-01 |
1609117514 | Mae Palina Clark | Dietitian, Registered | 900 Stark Rd, Starkville, MS 39759-3613 | 2013-03-04 |
1457668246 | Baze Pharmacy LLC | Pharmacy | 900 Stark Rd, Starkville, MS 39759-3613 | 2010-09-01 |
1053633677 | Iyabo O Adebiyi | Registered Nurse | 900 Stark Rd, Starkville, MS 39759-3613 | 2010-02-23 |
1316040264 | Felicia Deloris Edwards | Nurse Practitioner | 900 Stark Rd, Starkville, MS 39759-3613 | 2006-09-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336749274 | Medplus Starkville LLC | Clinic/Center | 1207 Ms 182, Starkville, MS 39759 | 2020-10-29 |
1033726930 | Katherine Campbell | Counselor | 796 Us 45 Alternate South, Starkville, MS 39759 | 2020-09-25 |
1275145781 | Amanda Allred | Nurse Practitioner | 59 Lynn Lane, Starkville, MS 39759 | 2020-08-18 |
1477174928 | Tina Whitehead | Massage Therapist | 518 Hwy 12 W, Starkville, MS 39759 | 2020-05-06 |
1699334284 | Ashley Kelton | Speech-Language Pathologist | Speech Therapy for Kids, 1411 Highway 389, Starkville, MS 39759 | 2019-06-07 |
1851850838 | Austin Fitzpatrick | Specialist/Technologist | 145 Lakeview Drive, Starkville, MS 39759 | 2019-03-18 |
1730645243 | Methodist of Mississippi Hospital & Rehabilitation Center | Durable Medical Equipment & Medical Supplies | 101 G T Thames Dr, Starkville, MS 39759 | 2019-02-20 |
1457854648 | Ryan Lamar Dotson | Specialist/Technologist | 55 Coliseum Blvd, Starkville, MS 39759 | 2018-03-14 |
1679085948 | Alan Evans | Specialist | 106 North Lafayette St, Starkville, MS 39759 | 2017-10-26 |
1275057275 | Southern Foundation for Homeless Children | Home Health | 317 Martin Luther King Drive, Suite 102, Starkville, MS 39759 | 2017-08-01 |
Find all providers in zip 39759 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346592045 | Golden Triangle Urgent Care, LLC | Clinic/Center | 500 Russell Str, Suite 3, Starkville, MS 39759-2113 | 2012-10-05 |
1902102692 | Och Regional Health Clinic | Clinic/Center | 307 Hospital Rd, Starkville, MS 39759-2155 | 2011-01-28 |
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 |
City | STARKVILLE |
Zip Code | 39759 |
Please comment or provide details below to improve the information on BOA VIDA HOSPITAL OF ABERDEEN, MS, LLC.
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.