Provider Demographics
NPI:1568777977
Name:PIONEER HEALTH SERVICES OF NEWTON COUNTY
Entity Type:Organization
Organization Name:PIONEER HEALTH SERVICES OF NEWTON COUNTY
Other - Org Name:NEWTON ER
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:S
Authorized Official - Last Name:MCNULTY
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:601-849-1682
Mailing Address - Street 1:9421 EASTSIDE DRIVE EXT
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MS
Mailing Address - Zip Code:39345-8063
Mailing Address - Country:US
Mailing Address - Phone:601-683-2031
Mailing Address - Fax:601-683-0264
Practice Address - Street 1:9421 EASTSIDE DRIVE EXT
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MS
Practice Address - Zip Code:39345-8063
Practice Address - Country:US
Practice Address - Phone:601-683-2031
Practice Address - Fax:601-683-0264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-10
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care