NPIMap

Organization Active NPI

Pioneer Health Services of Newton County

Doing business as Newton Family and Specialty Clinic

  • Rural Health Clinic/Center
  • Newton, MS
National Provider Identifier
1801899679
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
16-321 Issued in MS
Legal business name
PIONEER HEALTH SERVICES OF NEWTON COUNTY
Doing business as
Newton Family and Specialty Clinic
Practice address
9421 Eastside Drive Extention
Newton, MS 39345-2613
Phone
(601) 683-2031
Fax
(601) 683-0262
NPI assigned
May 24, 2005
Last updated
Sep 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Authorized official

Name
Joseph S McNulty III
Title
Ceo
Phone
(601) 849-1682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 16-321 MS Primary

Addresses

Primary practice location

9421 Eastside Drive Extention
Newton, MS 39345-2613

Mailing address

9421 Eastside Drive Extention
Newton, MS 39345
Phone (601) 849-1682

Other names 1

  • Newton Family and Specialty Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

9421 Eastside Drive Ext
Newton, MS 39345
Phone (601) 683-0378

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1801899679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9421 EASTSIDE DRIVE EXTENTION",
            "city": "NEWTON",
            "state": "MS",
            "postal_code": "39345",
            "telephone_number": "601-849-1682",
            "fax_number": "601-849-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9421 EASTSIDE DRIVE EXTENTION",
            "city": "NEWTON",
            "state": "MS",
            "postal_code": "393452613",
            "telephone_number": "601-683-2031",
            "fax_number": "601-683-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER HEALTH SERVICES OF NEWTON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2010-09-15",
        "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": "601-849-1682",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MS",
            "license": "16-321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newton Family and Specialty Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newton, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.