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Contact Information

PIONEER HEALTH CARE , LLC
4297 HWY 42
BASSFIELD, MS39421
 Phone: 601-550-3153
 Fax: 601-901-6061
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for PIONEER HEALTH CARE , LLC

NPI Number 1336384742
LBN Legal business name PIONEER HEALTH CARE , LLC
Authorized official BRAD MASSEY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/14/2008
Last updated 09/29/2024 - More than a year ago
Identifiers
MS License # R814032
MS Medicaid 00124846
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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