Pioneer Health Services of Monroe County, Inc
Organization Active NPI Rural Health Clinic/Center · Caledonia, MS
NPI 1164670261 · NPPES record last updated Nov 24, 2009
Key facts
- NPI
- 1164670261
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- PIONEER HEALTH SERVICES OF MONROE COUNTY, INC
- Practice address
- 771 Main St
Caledonia, MS 39740-9999 - Phone
- (662) 356-4621
- NPI assigned
- Sep 3, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Joseph S McNulty
- Title
- Ceo
- Phone
- (601) 849-6440
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
771 Main St
Caledonia, MS 39740-9999
Mailing address
PO Box 1100
Magee, MS 39111-1100
Phone (601) 849-6440
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01232348 | Medicaid | MS |
Other names
- Pioneer Family Medical of Caledonia
Other providers in Caledonia, MS
- Golden Triangle Family Eye Care, PLLC
- Lisa Jordan Hudson
- Jrco, LLC
- Maegan Mattison
- Joachim Yves McKinney
- Nicholas Thomas Richardson
- Leslie Herndon Singley
- Sabrina Sondag
- John Andrew Troxler
- Heather D Walker
All providers in Caledonia, MS · Rural Health Clinic/Center in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.