BOA VIDA HOSPITAL OF ABERDEEN MS LLC NPI 1669063202

NPI Information

BOA VIDA HOSPITAL OF ABERDEEN, MS LLC is a rural health clinic center in Tupelo, MS. BOA VIDA HOSPITAL OF ABERDEEN, MS LLC NPI is 1669063202. The provider is registered as an organization entity type.
The provider Is Doing Business As Mrh Medical Group, East Main Family Medical.

The provider's business location address is:

1424 E MAIN ST
TUPELO, MS
ZIP 38804-956
Phone: (662) 350-3550
Fax: (662) 842-3061

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 25D2060779 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/27/2021 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:

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