BOA VIDA HOSPITAL OF ABERDEEN, MS, LLC (NPI# 1245757301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245757301 |
| Entity Type | Organization |
| Organization Name | BOA VIDA HOSPITAL OF ABERDEEN, MS, LLC |
| Other Organization Name | MRH MEDICAL GROUP |
| Practice Address |
502 Jackson St Ste 5 Aberdeen MS 39730-3303 |
| Mailing Address |
10996 Four Seasons Pl Crown Point IN 46307-8684 |
| Practice Telephone | 2193950667 |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | DR. KIRNJOT SINGH (PRESIDENT) |
| Authorized Official Telephone | 2193950667 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Monroe Regional Hospital | Doing Business As Name - Organization |
| MRH Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720649577 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 19 Third St, Belmont, MS 38827 | 2019-06-24 |
| 1790272185 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 670 Ms-178, Suite 5, Sherman, MS 38869 | 2018-04-20 |
| 1124515515 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 2200 5th St N, Columbus, MS 39705-2212 | 2018-04-20 |
| 1205323698 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 815 2nd Ave N, Columbus, MS 39701-4703 | 2018-04-20 |
| 1063076511 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 508 Alcorn Dr, Corinth, MS 38834-9392 | 2019-04-30 |
| 1427612183 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 1495 Maple Rd, Nettleton, MS 38858-6026 | 2019-04-29 |
| 1336703099 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 116 Medical Center Dr, West Point, MS 39773-0428 | 2019-04-29 |
| 1982191367 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 815 Childs St, Corinth, MS 38834 | 2018-04-20 |
| 1699262089 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 900 Stark Rd, Starkville, MS 39759-3613 | 2018-04-20 |
| 1710405741 | Boa Vida Hospital of Aberdeen, Ms, LLC | Medicare Defined Swing Bed Unit | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2017-08-30 |
| Street Address |
502 JACKSON ST STE 5 |
| City | ABERDEEN |
| State | MS |
| Zip Code | 39730-3303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083767271 | Aberdeen Health Clinic Inc | Internal Medicine | 501 Chestnut Street, Aberdeen, MS 39730 | 2007-01-19 |
| 1205992153 | Woodie Darnell Herron | Family Medicine | 200 East Commerce Street, Aberdeen, MS 39730 | 2006-12-28 |
| 1578638532 | Leonard J Goodgame Jr. | Dentist | 207 West Commerce, Aberdeen, MS 39730 | 2006-11-22 |
| 1295813210 | Thomas Banks Shepherd Jr. | Dentist | 116 E Washington Street, Aberdeen, MS 39730 | 2006-11-01 |
| 1619490810 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 200 Highway 145 N, Aberdeen, MS 39730 | 2017-07-19 |
| 1538454855 | Mark Fitzhugh Breland | Dentist | 513 W Commerce St, Aberdeen, MS 39730 | 2011-06-15 |
| 1649446212 | Cheyenne's Total Care/transporation | Non-emergency Medical Transport (VAN) | 122 W Commerce St, Aberdeen, MS 39730 | 2008-05-05 |
| 1386689438 | Pioneer Health Services of Monroe County, Inc. | Clinic/Center | 502 Jackson Street, Suite 5, Aberdeen, MS 39730-0000 | 2006-06-20 |
| 1578675328 | Renal Care Group Tupelo, LLC | Clinic/Center | 308 Highway 8 W, Aberdeen, MS 39730-2106 | 2006-08-31 |
| 1881006807 | Roy Donald Duncan | Urology | 300 Forrest Hill Cir, Aberdeen, MS 39730-2147 | 2014-05-26 |
| Find all providers in zip 39730 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790864577 | Pioneer Health Services of Monroe County, Inc | Clinic/Center | 502 Jackson St Ste 4, Aberdeen, MS 39730-3300 | 2006-11-03 |
| 1386689438 | Pioneer Health Services of Monroe County, Inc. | Clinic/Center | 502 Jackson Street, Suite 5, Aberdeen, MS 39730-0000 | 2006-06-20 |
| 1245757319 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 502 Jackson St Ste 4, Aberdeen, MS 39730-3303 | 2017-08-29 |
| 1891212957 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 500 S Chestnut St, Aberdeen, MS 39730-3337 | 2017-08-29 |
| 1639602667 | Lifebrite Hospital Group of Aberdeen LLC | Clinic/Center | 502 Jackson St, Suite 5, Aberdeen, MS 39730-3300 | 2017-04-06 |
| 1235662453 | Lifebrite Hospital Group of Aberdeen LLC | Clinic/Center | 502 Jackson St, Suite 4, Aberdeen, MS 39730-3300 | 2017-04-05 |
| 1083658595 | Pioneer Health Services of Monroe County, Inc | Clinic/Center | 500 S Chestnut St, Aberdeen, MS 39730-3337 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730786120 | Ochsner Medical Center - Hancock, LLC | Clinic/Center | 2274 Highway 43 S Ste 200, Picayune, MS 39466-8141 | 2020-10-08 |
| 1306460282 | Covington County Hospital | Clinic/Center | 105 Eaton St, Taylorsville, MS 39168-5614 | 2020-06-05 |
| 1871117747 | Covington County Hospital | Clinic/Center | 1039 Highway 42 Ste C, Sumrall, MS 39482-4478 | 2020-06-05 |
| 1194365338 | Bounds Family Medical | Clinic/Center | 870 Main St Ste A, Fayette, MS 39069-5695 | 2020-01-15 |
| 1720649577 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 19 Third St, Belmont, MS 38827 | 2019-06-24 |
| 1255999611 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 400 3rd Ave 32 West, New Houlka, MS 38850 | 2019-05-31 |
| 1598238545 | South Sunflower County Hospital | Clinic/Center | 1001 West Delta, Moorhead, MS 38761 | 2019-01-02 |
| 1790272185 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 670 Ms-178, Suite 5, Sherman, MS 38869 | 2018-04-20 |
| 1124515515 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 2200 5th St N, Columbus, MS 39705-2212 | 2018-04-20 |
| 1205323698 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 815 2nd Ave N, Columbus, MS 39701-4703 | 2018-04-20 |
| Find all providers with the same taxonomy | ||||
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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.