PIONEER HEALTH SERVICES OF EARLY COUNTY, LLC (NPI# 1154669554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154669554 |
| Entity Type | Organization |
| Organization Name | PIONEER HEALTH SERVICES OF EARLY COUNTY, LLC |
| Other Organization Name | PIONEER FAMILY MEDICAL OF ARLINGTON |
| Practice Address |
104 Maxwell St Se Arlington GA 39813-8714 |
| Practice Telephone | 6018496440 |
| Practice Fax Number | 6018491318 |
| Mailing Telephone | 6018496440 |
| Mailing Fax Number | 6018491318 |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2013-01-21 |
| Authorized Official Name | MR. JOSEPH SYLVESTER MCNULTY III (CEO) |
| Authorized Official Telephone | 6018496440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 049-667 | GA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pioneer Family Medical of Arlington | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316323785 | Pioneer Health Services of Early County, LLC | Clinic/Center | 11168 Columbia St, Suite B, Blakely, GA 39823-3474 | 2015-08-07 |
| 1548534910 | Pioneer Health Services of Early County, LLC | Psychiatric Unit | 11740 Columbia St, Blakely, GA 39823-2574 | 2012-03-02 |
| 1205110814 | Pioneer Health Services of Early County, LLC | Clinic/Center | 11168 Columbia St, Blakely, GA 39823-3474 | 2011-09-30 |
| 1588974521 | Pioneer Health Services of Early County, LLC | Ambulance | 11740 Columbia St, Blakely, GA 39823-2574 | 2010-10-08 |
| 1386952141 | Pioneer Health Services of Early County, LLC | Skilled Nursing Facility | 11740 Columbia St, Blakely, GA 39823-2574 | 2010-09-15 |
| 1144535212 | Pioneer Health Services of Early County, LLC | Medicare Defined Swing Bed Unit | 11740 Columbia St, Blakely, GA 39823-2574 | 2010-08-13 |
| 1699080762 | Pioneer Health Services of Early County, LLC | Clinic/Center | 11740 Columbia St, Blakely, GA 39823-2574 | 2010-08-13 |
| 1104131267 | Pioneer Health Services of Early County, LLC | General Acute Care Hospital | 11740 Columbia St, Blakely, GA 39823-2574 | 2010-08-13 |
| 1720393895 | Pioneer Health Services of Early County, LLC | Clinic/Center | 11045 Columbia St, Suite B, Blakely, GA 39823-3447 | 2010-08-13 |
| Street Address |
104 MAXWELL ST SE |
| City | ARLINGTON |
| State | GA |
| Zip Code | 39813-8714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326242298 | Nathan J. Dallas | Dentist | 471 Pioneer Road Nw, Arlington, GA 39813 | 2007-06-13 |
| 1942412754 | Calhoun Memorial Hospital | Rehabilitation Unit | 103 R E Jennings Ave, Arlington, GA 39813 | 2007-05-04 |
| 1316027352 | Hospital Authority of Calhoun County | General Acute Care Hospital | 55 R E Jennings Ave, Arlington, GA 39813 | 2006-10-16 |
| 1831208743 | Amy J Kocherla | Internal Medicine | 17432 Highland Ave, Arlington, GA 39813 | 2006-08-30 |
| 1508811761 | John Charles Dallas | Dentist | 471 Pioneer Rd, Arlington, GA 39813 | 2006-05-24 |
| 1326333675 | Dallas Dental Carellc | Dentist | 471 Pioneer Rd, Arlington, GA 39813 | 2011-06-15 |
| 1699986695 | John Dallas, Dmd, PC | Dentist | 471 Pioneer Rd, Arlington, GA 39813 | 2007-05-24 |
| 1851503668 | Calhoun Memorial Hospital | Rehabilitation Unit | 103 R E Jennings Ave, Arlington, GA 39813 | 2007-05-04 |
| 1396877395 | Calhoun Memorial Hospital | Ambulance | 55 R E Jennings Ave, Arlington, GA 39813 | 2007-03-12 |
| 1073564902 | Steven M Wadsworth | Podiatrist | 420 W Morris Blvd, Ste 400d Health Star Physicians, Morristown, TN 39813 | 2006-05-15 |
| Find all providers in zip 39813 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
| 1700407780 | Lolita Aesthetics Inc | Clinic/Center | 6101 August Run, Arlington, TX 76017-0543 | 2020-05-01 |
| 1720639503 | Javan Wellness Ballston LLC | Clinic/Center | 4000 Wilson Blvd Ste D, Arlington, VA 22203-4401 | 2019-09-24 |
| 1669027652 | Venesalud Primary Care, LLC | Clinic/Center | 611 S Carlin Springs Rd Ste 412, Arlington, VA 22204-1087 | 2019-08-06 |
| 1912462110 | Cigna Onsite Health LLC | Clinic/Center | 4000 Embarcadero Dr, Arlington, TX 76014-4101 | 2019-02-01 |
| 1194208116 | Amal Coubseling, Pllc | Clinic/Center | 5303 Rio Bravo Dr, Arlington, TX 76017-1750 | 2018-09-14 |
| 1023511235 | Arlington Vision Care Pa | Clinic/Center | 5425 Matlock Rd Ste 100, Arlington, TX 76018-1558 | 2018-03-14 |
| 1558889238 | Shine Behavioral LLC | Clinic/Center | 1205b W Green Oaks Blvd, Arlington, TX 76013-8301 | 2017-09-01 |
| 1659807584 | Sound Pain Alliance | Clinic/Center | 16410 Smokey Point Blvd Ste 210, Arlington, WA 98223-8415 | 2017-05-11 |
| 1093260309 | Sikkema Chiropractic Virginia, Inc. | Clinic/Center | 46 S Glebe Rd Ste 100, Arlington, VA 22204-1671 | 2016-08-17 |
| 1316340565 | Rediclinic of Wa, LLC | Clinic/Center | 17226 Smokey Point, Arlington, WA 98223 | 2014-10-02 |
| Find all providers in ARLINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.