Boa Vida Hospital of Aberdeen, Ms LLC
Organization Active NPI Community/Retail Pharmacy · Aberdeen, MS
NPI 1134858269 · NPPES record last updated May 28, 2025
Key facts
- NPI
- 1134858269
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- BOA VIDA HOSPITAL OF ABERDEEN, MS LLC
- Practice address
- 502 Jackson St Ste 1
Aberdeen, MS 39730-3303 - Phone
- (662) 369-2455
- Fax
- (662) 319-2125
- NPI assigned
- Jun 6, 2022
- Organization subpart
- No
Authorized official
- Name
- Dr. Kirnjot Singh, MD
- Title
- President
- Phone
- (219) 228-4355
Corporate family (same tax ID) 35
Practitioners 168
-
Sarah Freeman Adams, FNP
-
Aaron Ashley Amos, M.D.
-
Richard Michael Arriola, M.D.
-
John Bradley Atkins, CRNA
-
Dennis W Aust, MD
-
James Lee Baker, M.S.N.
-
Shonve Ball, FNP
-
Chastity A Barnette, CFNP
-
Lauren M Barrier, FNP
-
Vernon W. Barrow III, M.D.
-
Robert Conrad Becker, M.D.
-
Michael Allen Berry, M.D.
-
Laura Nicole Billingsley, CRNA
-
Evan Todd Blair, MD
-
Mari Caitlyne Blaylock, FNP-C
-
Samuel Keith Box, D.O.
-
Coleman A. Boyd, M.D.
-
Gina Vick Bray, DO
-
Laney Elizabeth Brock, FNP-BC
-
Julian Arthur Brown Jr., M. D.
-
Rebecca Butler, CFNP
-
Sherry D. Callahan, FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
All facility ownership & control disclosures 24
| Facility | Type | Role | Since |
|---|---|---|---|
| Monroe Regional Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 1, 2017 Oct 1, 2017 |
| Monroe Regional Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 1, 2017 Oct 1, 2017 |
| Monroe Regional Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2017 |
| MRH Medical Group Jurney |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2017 |
| Monroe Regional Hospital |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2017 |
| MRH Medical Group |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 1, 2017 Oct 1, 2017 |
| MRH Medical Group Hamilton |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 1, 2017 Oct 1, 2017 |
| MRH Medical Group, Columbus 5TH St. |
Rural health clinic | 5% Or Greater Direct Ownership Interest (99%) | Oct 1, 2017 |
| Monroe Regional Hospital |
Rural health clinic | 5% Or Greater Direct Ownership Interest (99%) | Oct 1, 2017 |
| Monroe Regional Hospital |
Rural health clinic | 5% Or Greater Direct Ownership Interest (99%) | Oct 1, 2017 |
| MRH Medical Group, Primary Care and Women'S Wellness |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 1, 2017 Oct 1, 2017 |
| MRH Medical Group, West Point |
Rural health clinic | 5% Or Greater Direct Ownership Interest | Oct 1, 2017 |
| MRH Medical Group, Corinth Alcorn Dr. |
Rural health clinic | 5% Or Greater Direct Ownership Interest | Oct 1, 2017 |
| MRH Medical Group, Nettleton |
Rural health clinic | 5% Or Greater Direct Ownership Interest (99%) | Oct 1, 2017 |
| MRH Medical Group, Belmont |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2017 |
| MRH Medical Group, GSV Houlka |
Rural health clinic | 5% Or Greater Direct Ownership Interest (99%) | Oct 1, 2017 |
| Monroe Regional Hospital |
Rural health clinic | 5% Or Greater Direct Ownership Interest (99%) | Oct 1, 2017 |
| MRH Medical Group East Main Family Medical |
Rural health clinic | 5% Or Greater Direct Ownership Interest (99%) | Oct 1, 2017 |
| MRH Medical Group Premier Diabetes and Medical Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (99%) | Oct 1, 2017 |
| MRH Medical Group, Starkville |
Rural health clinic | 5% Or Greater Direct Ownership Interest (99%) | Oct 1, 2017 |
| MRH Medical Group, Verona Family Medicine & Urgent Care |
Rural health clinic | 5% Or Greater Direct Ownership Interest (99%) | Oct 1, 2017 |
| MRH Medical Group Potter Family Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2017 |
| MRH Medical Group Horn Medical Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (99%) | Oct 1, 2017 |
| MRH Medical Group Rice Family Medical Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (99%) | Oct 1, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241216000222 | MS | Part B Supplier - Pharmacy | 0244505840 | Practice locations: Aberdeen, MS |
National Provider Directory
- Tax ID family
- Boa Vida Hospital Aberdeen
Locations
502 S Chestnut St
Aberdeen, MS 39730
Phone (662) 319-8844
19 3rd St
Belmont, MS 38827
Phone (662) 454-3401
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
502 Jackson St Ste 1
Aberdeen, MS 39730-3303
Mailing address
10996 Four Seasons PL Ste 100C
Crown Point, IN 46307-7762
Phone (662) 510-4221
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4531376 | Medicaid | MS |
Other names
- MRH Outpatient Pharmacy
Other providers in Aberdeen, MS
- Aberdeen Eye Clinic P a
- Aberdeen Family Medical
- Aberdeen Health Clinic Inc
- Aberdeen on Wheels LLC
- Alfreda Caring for Life
- Boa Vida Hospital of Aberdeen, Ms LLC
- Boa Vida Hospital of Aberdeen, Ms LLC
- Boa Vida Hospital of Aberdeen, Ms, LLC
- Boa Vida Hospital of Aberdeen, Ms, LLC
- Boa Vida Hospital of Aberdeen, Ms, LLC
All providers in Aberdeen, MS · Community/Retail Pharmacy in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.