| Boa Vida Hospital Of Aberdeen, Ms Llc | |
|
1424 E Main St Tupelo MS 38804-2956 | |
| (662) 350-3550 | |
| (662) 842-3061 |
| Full Name | Boa Vida Hospital Of Aberdeen, Ms Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1424 E Main St, Tupelo, Mississippi |
| Authorized Official Name and Position | Kirnjot Singh (PRESIDENT) |
| Authorized Official Contact | 2192284355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boa Vida Hospital Of Aberdeen, Ms Llc 10996 Four Seasons Pl Ste 100c Crown Point IN 46307-7762 Ph: (219) 228-1021 | Boa Vida Hospital Of Aberdeen, Ms Llc 1424 E Main St Tupelo MS 38804-2956 Ph: (662) 350-3550 |
| NPI Number | 1669063202 |
|---|---|
| Provider Enumeration Date | 01/27/2021 |
| Last Update Date | 10/26/2023 |
| Medicare PECOS PAC ID | 0244505840 |
|---|---|
| Medicare Enrollment ID | O20210216000367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669063202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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