| Pioneer Family Medical Of Caledonia | |
|
771 Main St Caledonia MS 39740-9999 | |
| (662) 356-4621 | |
| Not Available |
| Full Name | Pioneer Family Medical Of Caledonia |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 771 Main St, Caledonia, Mississippi |
| Authorized Official Name and Position | Joseph S Mcnulty (CEO) |
| Authorized Official Contact | 6018496440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Family Medical Of Caledonia Po Box 1100 Magee MS 39111-1100 Ph: (601) 849-6440 | Pioneer Family Medical Of Caledonia 771 Main St Caledonia MS 39740-9999 Ph: (662) 356-4621 |
| NPI Number | 1164670261 |
|---|---|
| Provider Enumeration Date | 09/03/2008 |
| Last Update Date | 11/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164670261 | NPI | - | NPPES |
| 01232348 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Caledonia Community Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 171 South St, Caledonia, MS 39740 Phone: 662-855-0080 |