BOA VIDA HOSPITAL OF ABERDEEN, MS, LLC (NPI# 1710405741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710405741 |
| Entity Type | Organization |
| Organization Name | BOA VIDA HOSPITAL OF ABERDEEN, MS, LLC |
| Other Organization Name | MONROE REGIONAL HOSPITAL |
| Practice Address |
400 S Chestnut St Aberdeen MS 39730-3335 |
| Mailing Address |
10996 Four Seasons Pl Ste 100a Crown Point IN 46307-8685 |
| Practice Telephone | 2193950667 |
| Mailing Telephone | 2193950667 |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2018-03-17 |
| 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 |
|---|---|---|---|---|---|
| N | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units | ||
| N | 273R00000X | Psychiatric Unit | Hospital Units | ||
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| Other Name | Type Code |
|---|---|
| Monroe Regional Hospital | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 40128 Hamilton Rd, Hamilton, MS 397469686 | 2193950667 | |
| 500 S Chestnut St, Aberdeen, MS 397303337 | 2193950667 | |
| 502 Jackson St Ste 4, Aberdeen, MS 397303303 | 2193950667 | |
| 502 Jackson St Ste 5, Aberdeen, MS 397303303 | 2193950667 |
| 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 |
| 1245757301 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 502 Jackson St Ste 5, Aberdeen, MS 39730-3303 | 2017-08-29 |
| 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 |
| Street Address |
400 S CHESTNUT ST |
| City | ABERDEEN |
| State | MS |
| Zip Code | 39730-3335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710927215 | Pioneer Health Services of Monroe County, Inc. | General Acute Care Hospital | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2006-06-07 |
| 1285102798 | Amy B Joslin | Nurse Practitioner | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2018-11-02 |
| 1124532320 | Enduracare Acute Care Services LLC | Clinic/Center | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2017-11-27 |
| 1689191629 | Boa Vida Hospital of Aberdeen, Ms, LLC | Psychiatric Unit | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2017-08-29 |
| 1982121067 | Boa Vida Hospital of Aberdeen, Ms, LLC | Medicare Defined Swing Bed Unit | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2017-08-29 |
| 1285164046 | Boa Vida Hospital of Aberdeen, Ms, LLC | General Acute Care Hospital | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2017-06-14 |
| 1538692074 | Lifebrite Hospital Group of Aberdeen LLC | General Acute Care Hospital | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2017-04-11 |
| 1356874895 | Lifebrite Hospital Group of Aberdeen LLC | General Acute Care Hospital | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2017-04-11 |
| 1801329834 | Lifebrite Hospital Group of Aberdeen LLC | Psychiatric Unit | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2017-04-06 |
| 1396278511 | Lifebrite Hospital Group of Aberdeen LLC | General Acute Care Hospital | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2017-04-05 |
| Find all providers in the same location | ||||
| 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 | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710927215 | Pioneer Health Services of Monroe County, Inc. | General Acute Care Hospital | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2006-06-07 |
| 1285164046 | Boa Vida Hospital of Aberdeen, Ms, LLC | General Acute Care Hospital | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2017-06-14 |
| 1538692074 | Lifebrite Hospital Group of Aberdeen LLC | General Acute Care Hospital | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2017-04-11 |
| 1356874895 | Lifebrite Hospital Group of Aberdeen LLC | General Acute Care Hospital | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2017-04-11 |
| 1396278511 | Lifebrite Hospital Group of Aberdeen LLC | General Acute Care Hospital | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2017-04-05 |
| 1194047241 | Pioneer Health Services of Monroe County, Inc. | General Acute Care Hospital | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2010-02-17 |
| 1356362917 | Pioneer Health Services of Monroe County, Inc | General Acute Care Hospital | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730566027 | Bmc - Attala, LLC | General Acute Care Hospital | 220 Hwy. 12 West, Kosciusko, MS 39090 | 2015-05-06 |
| 1700284502 | Cody Allen Simpson | General Acute Care Hospital | 401 Southcrest Cir Ste 203, Southaven, MS 38671-6719 | 2014-12-10 |
| 1326453648 | Kings Daughters Hospital of Yazoo County, Inc | General Acute Care Hospital | 748 E 15 St., Yazoo City, MS 39194 | 2014-06-25 |
| 1003026717 | Forrest County General Hospital | General Acute Care Hospital | 305 W Moody St, Poplarville, MS 39470 | 2007-05-23 |
| 1063620110 | Prentiss Regional Hospital and Ecf, Inc. | General Acute Care Hospital | 1102 Rose St, Prentiss, MS 39474 | 2007-05-21 |
| 1316076524 | Prentiss Regional Hospital and Ecf, Inc. | General Acute Care Hospital | 1102 Rose St., Prentiss, MS 39474 | 2007-03-05 |
| 1144339839 | Simpson Community Healthcare, Inc. | General Acute Care Hospital | 1842 Simpson Highway 149, Mendenhall, MS 39114-3438 | 2006-08-29 |
| 1821103516 | Pontotoc Health Services, Inc. | General Acute Care Hospital | 176 S Main St, Pontotoc, MS 38863-3311 | 2006-08-20 |
| 1386654309 | Stone County Hospital, Inc. | General Acute Care Hospital | 1434 Central Ave E, P O Drawer 97, Wiggins, MS 39577-9602 | 2006-08-09 |
| 1477563427 | State of Mississippi - University of Mississippi Medical Center | General Acute Care Hospital | 239 Bowling Green Road, Lexington, MS 39095 | 2006-08-09 |
| 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.