Chestnut Medical Clinic

LBN: Pioneer Health Services Of Monroe County, Inc
Chestnut Medical Clinic is an health care organization with primary practice located at 500 S Chestnut St , Aberdeen MS 39730-3337. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Pioneer Health Services Of Monroe County, Inc can be contacted via phone (601) 369-9525, or through Mcnulty, Joseph S via phone (691) 849-4112.

Contact Information

Primary practice address
500 S Chestnut St Aberdeen MS 39730-3337
Phone: (601) 369-9525
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcnulty, Joseph S Certified Respiratory Therapist (CRT)
Phone: (691) 849-4112

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X Mississippi

Profile Details

NPI number 1083658595
LBN Legal business name Pioneer Health Services Of Monroe County, Inc
DBA Doing business as Chestnut Medical Clinic
Authorized official Mcnulty, Joseph S Certified Respiratory Therapist (CRT)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2006
Last updated Jun 2nd, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083658595 NPPES
Mississippi MEDICAID 09015888

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