| Pioneer Health Services Of Choctaw County, Llc | |
|
780 Main Street Weir MS 39772-0000 | |
| (662) 547-9407 | |
| (662) 547-9408 |
| Full Name | Pioneer Health Services Of Choctaw County, Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 780 Main Street, Weir, Mississippi |
| Authorized Official Name and Position | Joseph S Mcnulty (CEO) |
| Authorized Official Contact | 6625479407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Health Services Of Choctaw County, Llc 780 Main Street Weir MS 39772-0000 Ph: (662) 547-9407 | Pioneer Health Services Of Choctaw County, Llc 780 Main Street Weir MS 39772-0000 Ph: (662) 547-9407 |
| NPI Number | 1730461211 |
|---|---|
| Provider Enumeration Date | 09/12/2011 |
| Last Update Date | 02/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730461211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Mississippi) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Choctaw County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 780 Main Street, Weir, MS 39772 Phone: 662-547-9407 | |
Brandywine Health Services Of Mississippi, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 547 Front St., Weir, MS 39772 Phone: 662-547-9697 Fax: 662-547-9698 |