MAGNOLIA URGENT CARE INC (NPI# 1033475165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033475165 |
Entity Type | Organization |
Organization Name | MAGNOLIA URGENT CARE INC |
Practice Address |
2201 Highway 49 Ste B Wiggins MS 39577-8012 |
Practice Telephone | 6019282798 |
Practice Fax Number | 6019282790 |
Mailing Telephone | 6019282798 |
Mailing Fax Number | 6019282790 |
Enumeration Date | 2012-04-03 |
Last Update Date | 2012-04-03 |
Authorized Official Name | MR. CLIFFORD EUGENE BAKER (NURSE PRACTITIONER) |
Authorized Official Telephone | 6019282798 |
Authorized Official Credential | NP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
Street Address |
2201 HIGHWAY 49 STE B |
City | WIGGINS |
State | MS |
Zip Code | 39577-8012 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275766990 | St. John Hospice | Hospice Care, Community Based | 2201 Highway 49 Ste B, Wiggins, MS 39577-8013 | 2009-08-27 |
1598082802 | Tree House Medical Associates, LLC | Pediatrics | 2201 Highway 49 Ste B, Wiggins, MS 39577-8013 | 2010-04-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689057721 | John Thames | Emergency Medicine | 1428 Azalea Dr S, Wiggins, MS 39577 | 2015-07-07 |
1235468190 | Stone County School District | Local Education Agency (LEA) | 214 Critz Street, Wiggins, MS 39577 | 2009-12-23 |
1043452493 | Stone County Hospital, Inc | General Acute Care Hospital | 1434 E Central Ave., Wiggins, MS 39577 | 2009-04-01 |
1245274414 | James Walter Holmes | Family Medicine | 975 Hall Street, Wiggins, MS 39577 | 2006-06-16 |
1891223186 | Christine L Ladner | Nurse Practitioner | 1434 Central Ave E, Wiggins, MS 39577 | 2017-05-31 |
1790962637 | The Vision Center Pa | Optometrist | 1113 Central Ave E, Wiggins, MS 39577 | 2008-01-23 |
1821009465 | County Discount Drugs, Inc. | Durable Medical Equipment & Medical Supplies | 820 Hall St, Wiggins, MS 39577-2100 | 2006-08-10 |
1154430940 | Batson Physical Therapy, Inc. | Clinic/Center | 711 Hall St, Wiggins, MS 39577-2105 | 2006-08-29 |
1033723937 | Katherine B Tyree | Physical Therapist | 711 Hall St, Wiggins, MS 39577-2105 | 2020-09-08 |
1114569340 | Johelen K Trisler | Physical Therapy Assistant | 711 Hall St, Wiggins, MS 39577-2105 | 2019-10-09 |
Find all providers in zip 39577 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
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1780151381 | Express Care of Cleveland, LLC | Clinic/Center | 609 N Davis Ave Ste 105, Cleveland, MS 38732-2355 | 2018-11-01 |
1316420888 | Hunter Asset Holding LLC | Clinic/Center | 350 W Woodrow Wilson Ave Ste 311b, Jackson, MS 39213-7682 | 2018-09-11 |
1366922023 | Physician Services of The Gulf Coast LLC | Clinic/Center | 921 Cedar Lake Rd Ste E, Biloxi, MS 39532-2126 | 2018-08-21 |
1235619479 | Maxem Health Urgent Care Mccomb | Clinic/Center | 101 Edgewood Dr, Mccomb, MS 39648-2043 | 2018-08-16 |
1700372034 | Gmuc of Lucedale, PC | Clinic/Center | 103 W Frontage Rd Ste C, Lucedale, MS 39452-5836 | 2018-07-10 |
1285126227 | Medplus Fulton, LLC | Clinic/Center | 407 Interchange Drive, Fulton, MS 38843 | 2018-06-05 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.