| Boa Vida Hospital Of Aberdeen, Ms, Llc | |
|
502 Jackson St Ste 4 Aberdeen MS 39730-3303 | |
| (219) 395-0667 | |
| Not Available |
| Full Name | Boa Vida Hospital Of Aberdeen, Ms, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 502 Jackson St Ste 4, Aberdeen, 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 502 Jackson St Ste 4 Aberdeen MS 39730-3303 Ph: (219) 395-0667 |
| NPI Number | 1245757319 |
|---|---|
| Provider Enumeration Date | 08/29/2017 |
| Last Update Date | 10/26/2023 |
| Medicare PECOS PAC ID | 0244505840 |
|---|---|
| Medicare Enrollment ID | O20171009000277 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245757319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Boa Vida Hospital Of Aberdeen, Ms, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 S Chestnut St, Aberdeen, MS 39730 Phone: 662-369-6977 Fax: 662-369-6979 | |
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Boa Vida Hospital Of Aberdeen, Ms, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 502 Jackson St Ste 5, Aberdeen, MS 39730 Phone: 219-395-0667 |