Organization
PIONEER HEALTH SERVICES OF CHOCTAW COUNTY, LLC
Active
Other names
Pioneer Community Hospital of Choctaw
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH S MCNULTY III (CEO)
(601) 849-6440
Entity
Organization
Contact information
Practice address
311 W CHERRY ST, ACKERMAN, MS 39735-8708
(662) 285-1928
Mailing address
311 W CHERRY ST, ACKERMAN, MS 39735-8708
(662) 285-1928
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
—
—
282NC0060X
Critical Access Hospital
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251334
CCN
MS
Enumeration date
09/08/2011
Last updated
09/08/2011
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