Active NPI
Pioneer Health Services of Monroe County, Inc.
- Clinic/Center
- Aberdeen, MS
National Provider Identifier
1760880785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 16230
- Legal business name
- PIONEER HEALTH SERVICES OF MONROE COUNTY, INC.
- Practice address
- 502 S Chestnut St
Aberdeen, MS 39730-3337 - Phone
- (662) 369-9501
- NPI assigned
- Dec 8, 2014
- Organization subpart
- Yes
- Parent organization
- PIONEER HEALTH SERVICES OF MONROE COUNTY, INC.
Authorized official
NPPES NPI Registry- Name
- Joseph S McNulty III
- Title
- Ceo
- Phone
- (601) 849-6440
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Aberdeen, MS
- NPI 1083655724
National Provider Directory
- Part of
- Pioneer Family Pharmacy
Locations
403 S Chestnut St
Aberdeen, MS 39730
Phone (662) 369-9500
405 S Chestnut St
Aberdeen, MS 39730
Phone (601) 319-2000
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 16230 | MS | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
502 S Chestnut St
Aberdeen, MS 39730-3337
Mailing address
502 S Chestnut St
Aberdeen, MS 39730-3337
Phone (662) 369-9501
Other names 1
NPPES NPI Registry- Pioneer Surgical Clinic of Aberdeen
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 16, 2015.
{
"created_epoch": "1417996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447632000000",
"number": "1760880785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 S CHESTNUT ST",
"city": "ABERDEEN",
"state": "MS",
"postal_code": "397303337",
"telephone_number": "662-369-9501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 S CHESTNUT ST",
"city": "ABERDEEN",
"state": "MS",
"postal_code": "397303337",
"telephone_number": "662-369-9501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIONEER HEALTH SERVICES OF MONROE COUNTY, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PIONEER HEALTH SERVICES OF MONROE COUNTY, INC.",
"enumeration_date": "2014-12-08",
"last_updated": "2015-11-16",
"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": "601-849-6440",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "MS",
"license": "16230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pioneer Surgical Clinic of Aberdeen",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Aberdeen, MS
- Pioneer Health Services of Monroe County, Inc.
- Pioneer Health Services of Monroe County, Inc.
- Pioneer Health Services of Monroe County, Inc.
- Pioneer Health Services of Monroe County, Inc.
- Pioneer Health Services of Monroe County, Inc.
- Barry Prather, D.P.T.
- Premier Eye Care, PLLC
- Pressicare, Inc
- Pressicare, Inc
- Andrea Pyron, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.