Organization
PIONEER HEALTH SERVICES OF MONROE COUNTY, INC.
Active
Other names
Pioneer Family Medicine of Hamilton
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH S MCNULTY III CRT (PRESIDENT)
(601) 849-4112
Entity
Organization
Contact information
Practice address
40128 HAMILTON RD, HAMILTON, MS 39746-9686
(662) 343-5129
(662) 343-5476
Mailing address
PO BOX 1100, MAGEE, MS 39111-1100
(601) 849-6440
(601) 849-7557
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09006276
—
MS
Enumeration date
06/19/2006
Last updated
09/05/2008
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