BOA VIDA HOSPITAL OF ABERDEEN MS LLC NPI 1427612183

NPI Information

NPI: 1427612183
Provider Name: BOA VIDA HOSPITAL OF ABERDEEN, MS, LLC
Classification: Clinic/Center - 261QR1300X
Specialization: Rural Health
Entity Type: Organization
Doing Business As: MRH MEDICAL GROUP, NETTLETON
CLIA Number: 25D1047224
Address: 1495 MAPLE RD
NETTLETON, MS
ZIP 38858
Phone: (662) 963-9146

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NPI Details

BOA VIDA HOSPITAL OF ABERDEEN, MS, LLC is a rural health clinic center in Nettleton, MS. BOA VIDA HOSPITAL OF ABERDEEN, MS, LLC NPI is 1427612183. The provider is registered as an organization entity type.
The provider Is Doing Business As Mrh Medical Group, Nettleton.

The provider's business location address is:

1495 MAPLE RD
NETTLETON, MS
ZIP 38858-026
Phone: (662) 963-9146

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 25D1047224 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/29/2019 and was last updated on 10/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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