NPI:
1104589910
Provider Name:
BOA VIDA HOSPITAL OF ABERDEEN, MS LLC
Doing Business As: MRH MEDICAL GROUP, HORN MEDICAL CLINIC
Classification:
Clinic/Center - 261QR1300X
Entity Type:
Organization
Specialization: Rural Health
CLIA Number: 25D0317110
Address:
457 E MADISON ST
HOUSTON, MS
ZIP 38851
Phone:
(662) 456-4277
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BOA VIDA HOSPITAL OF ABERDEEN, MS LLC is a rural health clinic center in Houston, MS. BOA VIDA HOSPITAL OF ABERDEEN, MS LLC NPI is 1104589910. The provider is registered as an organization entity type.
The provider Is Doing Business As Mrh Medical Group, Horn Medical Clinic.
The provider's business location address is:
457 E MADISON ST
HOUSTON, MS
ZIP 38851-308
Phone: (662) 456-4277
Fax: (662) 456-9589
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 25D0317110 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 10/19/2021 and was last updated on 10/26/2023.