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CAH251302-03 PIONEER HEALTH SERVICES OF MONROE COUNTY, INC. D/B/A PIONEER COMMUNITY HOSPITAL (Terminated)
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Main Details
Name
PIONEER HEALTH SERVICES OF MONROE COUNTY, INC. D/B/A PIONEER COMMUNITY HOSPITAL
Subdivision Name
PIONEER FAMILY MEDICAL OF AMORY
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH251302-03
Medicare Provider Number
251302
Outpatient Facility Provider Number
258550
Additional Details
Current Program Status
Terminated
Registration Date
9/23/2010
Participating Start Date
9/24/2010
Participating Approval Date
9/24/2010
Last Recertification Date
8/31/2015
Termination Date
Termination Reason
10/1/2016
Site closure
Contacts
Authorizing Official
Boa Vida Hospital of Aberdeen LLC., dba Monroe Regional Hospital
Chris Chandler, CEO
(662) 369-2455
Primary Contact
Monroe Regional Hospital
Amanda Williams, Pharmacy Director
(662) 369-2455
Addresses
Street Address
1506 HWY 278 E.
AMORY, MS 38821
Billing Address
PIONEER HEALTH SERVICES
PO BOX 1100
MAGEE, MS 39111
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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