NPIMap

Organization Active NPI

Pioneer Health Services of Monroe County, Inc.

Doing business as Pioneer Walk In Clinic

  • Clinic/Center
  • Aberdeen, MS
National Provider Identifier
1477929495
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PIONEER HEALTH SERVICES OF MONROE COUNTY, INC.
Doing business as
Pioneer Walk In Clinic
Practice address
502 Jackson St
Suite 5
Aberdeen, MS 39730-3300
Phone
(662) 369-9500
NPI assigned
Aug 13, 2015
Last updated
Aug 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Authorized official

Name
Joseph McNulty III
Title
Ceo
Phone
(601) 849-6440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

502 Jackson St
Suite 5
Aberdeen, MS 39730-3300

Mailing address

502 Jackson St
Suite 5
Aberdeen, MS 39730-3300
Phone (662) 369-9500

Other names 1

  • Pioneer Walk In Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pioneer Family Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1477929495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 JACKSON ST",
            "address_2": "SUITE 5",
            "city": "ABERDEEN",
            "state": "MS",
            "postal_code": "397303300",
            "telephone_number": "662-369-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 JACKSON ST",
            "address_2": "SUITE 5",
            "city": "ABERDEEN",
            "state": "MS",
            "postal_code": "397303300",
            "telephone_number": "662-369-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER HEALTH SERVICES OF MONROE COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-13",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "MCNULTY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-849-6440",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Walk In Clinic",
            "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 Aug 13, 2015; 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.