FREEDOM HOSPITAL OF MAGNOLIA LLC (NPI# 1518414416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518414416 |
| Entity Type | Organization |
| Organization Name | FREEDOM HOSPITAL OF MAGNOLIA LLC |
| Other Organization Name | BEACHAM MEMORIAL HOSPITAL |
| Practice Address |
205 N Cherry St Magnolia MS 39652-2819 |
| Mailing Address |
4815 Ihles Rd Lake Charles LA 70605-5900 |
| Practice Telephone | 6017832353 |
| Practice Fax Number | 6017839003 |
| Mailing Telephone | 3378021336 |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-08 |
| Authorized Official Name | MR. TIMOTHY JASON REED (CEO) |
| Authorized Official Telephone | 3378021336 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 16-275 | MS | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 20043 | 05 |
| Other Name | Type Code |
|---|---|
| Beacham Memorial Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235686130 | Freedom Hospital of Magnolia LLC | Clinic/Center | 120 E Myrtle St, Magnolia, MS 39652-2834 | 2016-09-08 |
| 1598212490 | Freedom Hospital of Magnolia LLC | General Practice | 205 N Cherry St, Magnolia, MS 39652-2819 | 2016-09-08 |
| 1942501507 | Freedom Hospital of Magnolia LLC | Medicare Defined Swing Bed Unit | 205 N Cherry St, Magnolia, MS 39652-2819 | 2010-11-12 |
| Street Address |
205 N CHERRY ST |
| City | MAGNOLIA |
| State | MS |
| Zip Code | 39652-2819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417969700 | South Pike Hospital Association, Inc. | General Acute Care Hospital | 205 N Cherry St, Magnolia, MS 39652-2819 | 2006-08-13 |
| 1598212490 | Freedom Hospital of Magnolia LLC | General Practice | 205 N Cherry St, Magnolia, MS 39652-2819 | 2016-09-08 |
| 1871953802 | Freedom Hospital of Magnolia, LLC | Clinic/Center | 205 N Cherry St, Magnolia, MS 39652-2819 | 2016-03-03 |
| 1942501507 | Freedom Hospital of Magnolia LLC | Medicare Defined Swing Bed Unit | 205 N Cherry St, Magnolia, MS 39652-2819 | 2010-11-12 |
| 1225234164 | Siddeeqah Bilal | Psychiatry & Neurology | 205 N Cherry St, Magnolia, MS 39652-2819 | 2007-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548786932 | Donald Mcdaniel | Nurse Practitioner | 2683 Kermit Road, Magnolia, MS 39652 | 2017-08-17 |
| 1427260611 | South Pike School District | Registered Nurse | 1175 North Clark St, Magnolia, MS 39652 | 2007-05-03 |
| 1053477711 | Kimberly Renee Lemaster | Family Medicine | 111 Magnolia Street, Magnolia, MS 39652 | 2006-12-28 |
| 1265950877 | Christopher Clayton Givens | Nurse Practitioner | 111 Magnolia Street, Magnolia, MS 39652 | 2017-09-04 |
| 1932300977 | Bryan Barret Martin | Dentist | 405 N Clark Ave, Magnolia, MS 39652-2609 | 2007-05-29 |
| 1710278429 | Bryan B. Martin, Dmd, LLC | Dentist | 405 N Clark Ave, Magnolia, MS 39652-2609 | 2011-04-28 |
| 1265627467 | South Pike School District | Registered Nurse | 205 W Myrtle St, Magnolia, MS 39652-2717 | 2007-09-11 |
| 1336759018 | Kingdom House LLC | In Home Supportive Care | 309 E Bay St, Magnolia, MS 39652-2815 | 2020-08-06 |
| 1780725689 | Magnolia Rehab Company | Physical Therapist | 335 E Bay St, Magnolia, MS 39652-2815 | 2007-02-12 |
| 1831637826 | Tamelia Robinson | Physical Therapy Assistant | 335 E Bay St, Magnolia, MS 39652-2815 | 2017-02-09 |
| Find all providers in zip 39652 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407269756 | East Mississippi State Hospital | Psychiatric Unit | 1401 College Dr, Meridian, MS 39307-5345 | 2014-06-04 |
| 1699803395 | Walter Robert Jones Jr. | Psychiatric Unit | Hwy 468, Hudspeth Regional Center, Whitfield, MS 39193 | 2007-03-02 |
| 1740228881 | Vicksburg Healthcare LLC | Psychiatric Unit | 1111 N Frontage Rd, Vicksburg, MS 39180-5102 | 2006-06-02 |
| 1306803481 | George County Hospital | Psychiatric Unit | 859 Winter Steet, Lucedale, MS 39452-6603 | 2006-05-01 |
| 1457330995 | South Mississippi State Hospital | Psychiatric Unit | 823 Highway 589, Purvis, MS 39475-4194 | 2006-01-12 |
| 1831184951 | Alliance Health Center Inc | Psychiatric Unit | 5000 Highway 39 N, Meridian, MS 39301-1021 | 2005-09-14 |
| 1801414115 | Singing River Gulfport | Psychiatric Unit | 15200 Community Rd, Gulfport, MS 39503-3085 | 2020-07-13 |
| 1679036313 | Progressive Medical Management of Batesville LLC | Psychiatric Unit | 155 Keating Rd, Batesville, MS 38606-2901 | 2019-04-10 |
| 1689191629 | Boa Vida Hospital of Aberdeen, Ms, LLC | Psychiatric Unit | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2017-08-29 |
| 1033643937 | Batesville Regional Medical Center, Inc. | Psychiatric Unit | 303 Medical Center Dr, Batesville, MS 38606-8608 | 2017-04-18 |
| 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.