Organization
PIONEER HEALTH SERVICES OF MONROE COUNTY, INC
Active
Other names
Pioneer Family Medical of Caledonia
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH S MCNULTY (CEO)
(601) 849-6440
Entity
Organization
Contact information
Practice address
771 MAIN ST, CALEDONIA, MS 39740-9999
(662) 356-4621
Mailing address
PO BOX 1100, MAGEE, MS 39111-1100
(601) 849-6440
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01232348
—
MS
Enumeration date
09/03/2008
Last updated
11/24/2009
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