BOA VIDA HOSPITAL OF ABERDEEN, MS LLC (NPI# 1255999611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255999611 |
| Entity Type | Organization |
| Organization Name | BOA VIDA HOSPITAL OF ABERDEEN, MS LLC |
| Other Organization Name | MRH MEDICAL GROUP, GSV HOULKA |
| Practice Address |
400 3rd Ave 32 West New Houlka MS 38850 |
| Mailing Address |
10996 Four Seasons Pl Ste 100a Crown Point IN 46307-8685 |
| Practice Telephone | 6625682013 |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2020-01-03 |
| Authorized Official Name | DR. KIRNJOT SINGH (PRESIDENT) |
| Authorized Official Telephone | 8883397339 |
| 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 |
|---|---|
| MRH Medical Group, GSV Houlka | Doing Business As Name - Organization |
| MRH Medical Group, On Time Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205309044 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 184 William E Hill Drive Ste C, Carrollton, AL 35447 | 2019-01-04 |
| 1659844405 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 505 Willowbrook Rd, Columbus, MS 39705-2016 | 2019-01-04 |
| 1104399948 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 806 Earl Frye Blvd, Amory, MS 38821-5505 | 2019-01-04 |
| 1215419114 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 517 Center Ave N, Philadelphia, MS 39350-2552 | 2018-09-06 |
| Street Address |
400 3RD AVE 32 WEST |
| City | NEW HOULKA |
| State | MS |
| Zip Code | 38850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407319437 | Denyette Latham | Nurse Practitioner | 400 3rd Ave Hwy 32 W, Houlka, MS 38850 | 2019-04-08 |
| 1275874281 | Gsv Care Medical Clinic | Clinic/Center | 400 Third Avenue, Houlka, MS 38850 | 2013-03-15 |
| 1457461527 | Access Family Health Services, Inc. | Clinic/Center | 106 Walker St, Houlka, MS 38850 | 2006-08-30 |
| 1952781858 | Candace Miles | Occupational Therapy Assistant | 7734 Macedonia Rd, Houlka, MS 38850-7327 | 2015-06-04 |
| 1386781151 | Manda Sue Griffin | Nurse Practitioner | 400 Third Avenue Highway 32 West, Houlka, MS 38850-9004 | 2007-01-31 |
| 1306860697 | Dorthia S Walters | Nurse Practitioner | 106 Walker St, Houlka, MS 38850-9453 | 2006-07-27 |
| 1578698270 | Kathleen J Locker | Family Medicine | 106 Walker St, Houlka, MS 38850-9453 | 2007-02-22 |
| 1164584223 | Rachel Warren Rish | Nurse Practitioner | 106 Walker St, Access Family Health Services, Inc., Houlka, MS 38850-9453 | 2006-12-15 |
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| 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 |
| 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 |
| 1245757301 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 502 Jackson St Ste 5, Aberdeen, MS 39730-3303 | 2017-08-29 |
| Find all providers with the same taxonomy | ||||
| City | NEW HOULKA |
| Zip Code | 38850 |
Please comment or provide details below to improve the information on BOA VIDA HOSPITAL OF ABERDEEN, MS LLC.
| 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.