Organization
PIONEER HEALTH SERVICES OF MONROE COUNTY, INC.
Active
Other names
Pioneer Family Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH S MCNULTY III (CEO/OWNER)
(601) 849-6440
Entity
Organization
Contact information
Practice address
502 JACKSON STREET, SUITE 5, ABERDEEN, MS 39730-0000
(662) 369-9500
(662) 304-4002
Mailing address
PO BOX 1100, MAGEE, MS 39111-1100
(601) 849-1682
(601) 849-1969
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08558036
—
MS
Enumeration date
06/20/2006
Last updated
06/10/2009
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