NPIMap

Organization Active NPI

Pioneer Health Services of Monroe County, Inc.

  • Critical Access Hospital
  • Aberdeen, MS
National Provider Identifier
1194047241
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
3451 Issued in MS
Legal business name
PIONEER HEALTH SERVICES OF MONROE COUNTY, INC.
Practice address
400 S Chestnut St
Aberdeen, MS 39730-3335
Phone
(662) 369-2455
Fax
(662) 369-7998
NPI assigned
Feb 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Joseph S McNulty III
Title
Ceo
Phone
(601) 849-4112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 3451 MS Primary

Addresses

Primary practice location

400 S Chestnut St
Aberdeen, MS 39730-3335

Mailing address

400 S Chestnut St
Aberdeen, MS 39730-3335
Phone (662) 369-2455

Other identifiers 1

IdentifierTypeStateIssuer
09015872MedicaidMS

Other names 1

  • Pioneer Community Hospital of Aberdeen Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1194047241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S CHESTNUT ST",
            "city": "ABERDEEN",
            "state": "MS",
            "postal_code": "397303335",
            "telephone_number": "662-369-2455",
            "fax_number": "662-369-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S CHESTNUT ST",
            "city": "ABERDEEN",
            "state": "MS",
            "postal_code": "397303335",
            "telephone_number": "662-369-2455",
            "fax_number": "662-369-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER HEALTH SERVICES OF MONROE COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "MCNULTY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-849-4112",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MS",
            "license": "3451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015872",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Community Hospital of Aberdeen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aberdeen, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.