NPIMap

Boa Vida Hospital of Aberdeen, Ms LLC

Organization Active NPI Clinic/Center · Aberdeen, MS

NPI 1467115279 · NPPES record last updated Oct 26, 2023

Key facts

NPI
1467115279
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
Legal business name
BOA VIDA HOSPITAL OF ABERDEEN, MS LLC
Practice address
502 S Chestnut St
Aberdeen, MS 39730-3337
Phone
(662) 319-8844
Fax
(662) 319-8843
NPI assigned
Oct 19, 2021
Organization subpart
No

Authorized official

Name
Dr. Kirnjot Singh, MD
Title
President
Phone
(219) 228-4355

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 35

Organizations that report the same tax identification number in the National Provider Directory.

View all 35

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 27

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20171128003460 MS Part B Supplier - Clinic/Group Practice 0244505840 Receives reassigned benefits from 169 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Aberdeen, MS

National Provider Directory

Tax ID family
Boa Vida Hospital Aberdeen (36 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Yes

Addresses

Primary practice location

502 S Chestnut St
Aberdeen, MS 39730-3337

Mailing address

10996 Four Seasons PL Ste 100C
Crown Point, IN 46307-7762
Phone (219) 228-1021

Other names

  • MRH Medical Group, Monroe Doing business as

Other providers in Aberdeen, MS

All providers in Aberdeen, MS · Clinic/Center in Mississippi

Sources for this page

Verify at the official NPI Registry.