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MRH MEDICAL GROUP, ACUTE CARE AND FAMILY CLINIC OF PONTOTOC
NPI 1700477015
Clinic/Center - Rural Health in Pontotoc, MS

Active since January 29, 2021CLIA 25D1024837 · Certificate of Compliance
351 PEOPLES DR, PONTOTOC, MS 38863(662) 432-0782(662) 350-0887 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 26, 2023, Jan 29, 2021 (2 updates tracked since 2021).

About Mrh Medical Group, Acute Care And Family Clinic Of Pontotoc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRH MEDICAL GROUP, ACUTE CARE AND FAMILY CLINIC OF PONTOTOC (NPI 1700477015) is a healthcare organization registered as a rural health in Pontotoc, Mississippi and active in the NPI registry since January 2021. The organization holds a CLIA Certificate of Compliance certificate valid through August 26, 2028 and lists Kirnjot Singh, President, as its authorized official.

NPPES Registry Identity

NPI1700477015
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameBOA VIDA HOSPITAL OF ABERDEEN, MS LLC
Location Address351 PEOPLES DRPontotoc, MS 38863-8990
Mailing Address10996 Four Seasons Pl Ste 100cCrown Point, IN 46307-7762 · (219) 228-1021
Phone(662) 432-0782
Fax(662) 350-0887
Organization SubpartNo
Authorized OfficialKirnjot SinghPresident · (219) 228-4355
Enumeration DateJanuary 29, 2021
Last NPPES UpdateOctober 26, 20232 updates tracked since enumeration
NPPES CertifiedOctober 26, 2023
✔ NPI 1700477015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
351 PEOPLES DR, Pontotoc, MS 38863
Open in Google Maps ↗

Other Names 1

Doing Business AsMrh Medical Group, Acute Care And Family Clinic Of Pontotoc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrh Medical Group, Acute Care And Family Clinic Of Pontotoc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20210215001546Part A · Rural Health ClinicDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 25D1024837

Mrh Med Grp-Acute Care & Family Clinic Of Pontotoc · Pontotoc, MS
Active · expires Aug 26, 2028
CLIA Number25D1024837
Laboratory TypePractitioner Other
Certificate Effective DateAugust 27, 2026
Certificate Expiration DateAugust 26, 2028
Laboratory DirectorMelanie Bennett
Laboratory Phone(662) 489-2777
Laboratory LocationMrh Med Grp-Acute Care & Family Clinic Of Pontotoc351 Peoples Dr, Pontotoc, MS 38863
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAMELA DIANNE CLEGG-ALDERMAN FNP-BC
Nurse Practitioner (Family)
351 PEOPLES DR
PONTOTOC, MS 38863
Pontotoc County (662) 489-2777
MAGNOLIA MEDICAL, LLC
Nurse Practitioner
351 PEOPLES DR
PONTOTOC, MS 38863
Pontotoc County (662) 321-3709
MRS. JESSICA FAYE SKINNER NP-C
Nurse Practitioner (Family)
351 PEOPLES DR
PONTOTOC, MS 38863
Pontotoc County (601) 438-2678

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boa Vida Hospital Of Aberdeen, Ms LLC's NPI number?

The NPI number for Boa Vida Hospital Of Aberdeen, Ms LLC is 1700477015. It was assigned to this organization in the NPPES registry on January 29, 2021. The provider is doing business as Mrh Medical Group, Acute Care And Family Clinic Of Pontotoc.

Where is Boa Vida Hospital Of Aberdeen, Ms LLC located?

Boa Vida Hospital Of Aberdeen, Ms LLC is located at 351 Peoples Dr, Pontotoc, MS 38863. The listed phone number is (662) 432-0782.

What is Boa Vida Hospital Of Aberdeen, Ms LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Boa Vida Hospital Of Aberdeen, Ms LLC enrolled in Medicare?

Yes. Boa Vida Hospital Of Aberdeen, Ms LLC is registered in the Medicare PECOS enrollment system.

When is Boa Vida Hospital Of Aberdeen, Ms LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Mississippi, Rural Health Clinic) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Boa Vida Hospital Of Aberdeen, Ms LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D1024837) is associated with this NPI, valid through August 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Boa Vida Hospital Of Aberdeen, Ms LLC accept?

Health plans from Molina Healthcare list Boa Vida Hospital Of Aberdeen, Ms LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Boa Vida Hospital Of Aberdeen, Ms LLC was last updated on October 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.