MAGNOLIA REGIONAL MEDICAL CENTER (NPI# 1093298580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093298580 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA REGIONAL MEDICAL CENTER |
| Other Organization Name | MAGNOLIA FAMILY MEDICAL CLINIC |
| Practice Address |
104 Hospital Dr Magnolia AR 71753-2416 |
| Mailing Address |
Po Box 629 Magnolia AR 71754-0629 |
| Practice Telephone | 8702353000 |
| Mailing Telephone | 8702353000 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2020-09-17 |
| Authorized Official Name | MR. REX E JONES (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8702353212 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Magnolia Family Medical Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093736753 | Magnolia Regional Medical Center | Home Health | 833 N Washington, Magnolia, AR 71753 | 2006-07-21 |
| 1780097485 | Magnolia Regional Medical Center | Internal Medicine | 101 Hospital Drive, Magnolia, AR 71753 | 2014-06-10 |
| 1073893665 | Magnolia Regional Medical Center | Obstetrics & Gynecology | 101 Hospital Drive, Magnolia, AR 71753 | 2011-08-26 |
| 1457662595 | Magnolia Regional Medical Center | Surgery | 101 Hospital Dr, Magnolia, AR 71753-2415 | 2010-06-23 |
| 1891940714 | Magnolia Regional Medical Center | Surgery | 101 Hospital Dr, Magnolia, AR 71753-2415 | 2008-11-19 |
| 1629179924 | Magnolia Regional Medical Center | Hospitalist | 101 Hospital Dr, Magnolia, AR 71753-2415 | 2006-09-26 |
| 1861448219 | Magnolia Regional Medical Center | Clinic/Center | 101 Hospital Dr, Magnolia, AR 71753-2415 | 2006-05-26 |
| 1447206735 | Magnolia Regional Medical Center | Clinic/Center | 101 Hospital Dr, Magnolia, AR 71753-2415 | 2006-05-26 |
| 1215982376 | Magnolia Regional Medical Center | Medicare Defined Swing Bed Unit | 101 Hospital Dr, Magnolia, AR 71753-0629 | 2006-05-24 |
| 1861445082 | Magnolia Regional Medical Center | Clinic/Center | 707 N Washington, Magnolia, AR 71754 | 2006-05-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MAGNOLIA REGIONAL MEDICAL CENTER | 101 Hospital Drive, Magnolia, AR 71753-2415 |
| Street Address |
104 HOSPITAL DR |
| City | MAGNOLIA |
| State | AR |
| Zip Code | 71753-2416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548881386 | Magnolia Regional Health System Inc | Clinic/Center | 104 Hospital Dr, Magnolia, AR 71753-2416 | 2020-05-04 |
| 1205097987 | Harriet Jean Alexander | Nurse Practitioner | 104 Hospital Dr, Magnolia, AR 71753-2416 | 2008-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851939862 | Kylie Nokes | Occupational Therapy Assistant | 1403 High School Drive, Magnolia, AR 71753 | 2019-12-20 |
| 1225510266 | Douglas Palmer | Specialist/Technologist | 100 E University St, Magnolia, AR 71753 | 2018-09-06 |
| 1568940781 | Alyssa Scholl | Specialist/Technologist | Msc 8800, Magnolia, AR 71753 | 2018-07-31 |
| 1881141950 | Yuichi Takizawa | Specialist/Technologist | 2212 Lacari Dr., Fox Creek Apt #a1, Magnolia, AR 71753 | 2016-09-07 |
| 1609322981 | Stephen Baldwin Jr. | Specialist/Technologist | 100 E University Msc 9202, Magnolia, AR 71753 | 2016-08-28 |
| 1760830038 | Deborah Ellis | Developmental Therapist | 301 West Calhoun, Magnolia, ARKANSAS 71753 | 2016-05-27 |
| 1053720144 | Alaina Atkinson-murphy | Counselor | 1705 E North St, Magnolia, AR 71753 | 2014-08-04 |
| 1467701250 | Charles P Story | Physical Therapy Assistant | 191 E Columbia # 25, Magnolia, AR 71753 | 2012-09-07 |
| 1043565542 | Magnolia Surgery Center, LLC | Clinic/Center | 25 Columbia Road 47, Magnolia, AR 71753 | 2012-07-20 |
| 1427288232 | Emily Loftin | Physical Therapy Assistant | 310 West Calhoun Road, Magnolia, AR 71753 | 2009-07-15 |
| Find all providers in zip 71753 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235686130 | Freedom Hospital of Magnolia LLC | Clinic/Center | 120 E Myrtle St, Magnolia, MS 39652-2834 | 2016-09-08 |
| 1548881386 | Magnolia Regional Health System Inc | Clinic/Center | 104 Hospital Dr, Magnolia, AR 71753-2416 | 2020-05-04 |
| 1871953802 | Freedom Hospital of Magnolia, LLC | Clinic/Center | 205 N Cherry St, Magnolia, MS 39652-2819 | 2016-03-03 |
| 1861445082 | Magnolia Regional Medical Center | Clinic/Center | 707 N Washington, Magnolia, AR 71754 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634738 | Mississippi County Hospital System | Clinic/Center | 1521 N 10th St Ste G, Blytheville, AR 72315-1424 | 2020-09-18 |
| 1962015859 | Lansdell Family Clinic Pllc | Clinic/Center | 1124 Main Ave, Dierks, AR 71833-9421 | 2020-08-28 |
| 1154945483 | Sgoh Acquisition Inc | Clinic/Center | 102 Russell Road, Rogers, AR 72756 | 2020-06-02 |
| 1710465190 | Arcare | Clinic/Center | 3150 E. Heritage Parkway, Farmington, AR 72753 | 2018-07-30 |
| 1043716525 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 733 Roberts Drive, Monticello, AR 71655 | 2018-04-03 |
| 1316443807 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 1306 North Lincoln Avenue, Star City, AR 71667 | 2018-04-03 |
| 1124539648 | Access Medical Clinic Arkansas LLC | Clinic/Center | 1016 North Fourche Avenue, Perryville, AR 72126 | 2017-10-24 |
| 1174044697 | Bradley County Medical Center Rural Health Clinic | Clinic/Center | 304 East Central, Warren, AR 71671-0000 | 2017-07-06 |
| 1144755570 | Access Medical Clinic Arkansas LLC | Clinic/Center | 16723 Hwy 62, Garfield, AR 72732 | 2017-04-24 |
| 1568904480 | Bradley Bibb, Md Pllc | Clinic/Center | 1176 State Highway 22 W Ste B, Dardanelle, AR 72834 | 2016-11-09 |
| Find all providers with the same taxonomy | ||||
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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.