NPI:
1063076511
Provider Name:
BOA VIDA HOSPITAL OF ABERDEEN, MS, LLC
Doing Business As: MRH MEDICAL GROUP, CORINTH ALCORN DR.
Classification:
Clinic/Center - 261QR1300X
Entity Type:
Organization
Specialization: Rural Health
CLIA Number: 25D0675967
Address:
508 ALCORN DR
CORINTH, MS
ZIP 38834
Phone:
(663) 396-4733
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BOA VIDA HOSPITAL OF ABERDEEN, MS, LLC is a rural health clinic center in Corinth, MS. BOA VIDA HOSPITAL OF ABERDEEN, MS, LLC NPI is 1063076511. The provider is registered as an organization entity type.
The provider Is Doing Business As Mrh Medical Group, Corinth Alcorn Dr..
The provider's business location address is:
508 ALCORN DR
CORINTH, MS
ZIP 38834-392
Phone: (663) 396-4733
The provider's authorized official is Kirnjot Singh .
The authorized official title is President and has the following contact phone number (219) 228-4355.
The CLIA number assigned to this NPI record is 25D0675967 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/30/2019 and was last updated on 10/26/2023.