MAGNOLIA REGIONAL MEDICAL CENTER (NPI# 1861445082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861445082 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA REGIONAL MEDICAL CENTER |
| Other Organization Name | MAGNOLIA MEDICAL CLINIC |
| Practice Address |
707 N Washington Magnolia AR 71754 |
| Mailing Address |
Po Box 629 Magnolia AR 71754-0629 |
| Practice Telephone | 8702353650 |
| Practice Fax Number | 8702353653 |
| Mailing Telephone | 8702353000 |
| Mailing Fax Number | 8702353653 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2014-05-21 |
| Authorized Official Name | MARGARET WEST (CEO) |
| Authorized Official Telephone | 8702353211 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 123010729 | 05 | |
| AR | BREASTCARE | 770306502 | 01 |
| Other Name | Type Code |
|---|---|
| Magnolia 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 |
| 1093298580 | Magnolia Regional Medical Center | Family Medicine | 104 Hospital Dr, Magnolia, AR 71753-2416 | 2018-09-11 |
| 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 |
| 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 |
707 N WASHINGTON |
| City | MAGNOLIA |
| State | AR |
| Zip Code | 71754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609862838 | Roger D Scow Jr. | Obstetrics & Gynecology | 707 N Washington, Magnolia, AR 71753 | 2005-09-22 |
| 1679194500 | Magnolia Regional Health System Inc | Obstetrics & Gynecology | 707 N Washington, Magnolia, AR 71753-2869 | 2020-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578989893 | Debra Kay Mccurry | Licensed Practical Nurse | 3627 Hwy 57 North, Magnolia, AR 71754 | 2014-03-11 |
| 1992147300 | Laci Lynn Baurer | Specialist/Technologist | 100 East University, Magnolia, AR 71754 | 2013-07-26 |
| 1346316999 | Abilities Unlimited Inc of Magnolia Ar | Clinic/Center | 2000 South Washington, Magnolia, AR 71754 | 2006-11-27 |
| 1922116292 | Willis Tilmon Beene | Dentist | 615 N. Jackson St., Magnolia, AR 71754 | 2006-08-28 |
| 1588683940 | Jan Kiilsgaard | Specialist/Technologist | 100 E. University, Magnolia, AR 71754 | 2006-07-18 |
| 1518350255 | Jeremy Jini Malone | Specialist/Technologist | 100 East University, Magnolia, AR 71754 | 2015-03-05 |
| 1235242421 | Emmalee Beene Gregory | Dentist | 1018 N Washington St, Magnolia, AR 71754-0432 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215800 | Kellie Lynn Myers | Nurse Practitioner | 26015 Penguin St, Magnolia, TX 77355-6249 | 2020-11-06 |
| 1174122121 | John Mychal Thompson | Nurse Practitioner | 1411 Terrace, Magnolia, AR 71753-2040 | 2020-10-21 |
| 1902405905 | Cambron Counseling | Counselor | 33300 Egypt Ln Ste K900, Magnolia, TX 77354-3338 | 2020-10-21 |
| 1861091019 | Erin Quinn | Occupational Therapy Assistant | 7130 Durango Creek Dr, Magnolia, TX 77354-2781 | 2020-10-20 |
| 1497353411 | Evarose Terese Pepin | Behavior Technician | 31218 W Timberloch Trl, Magnolia, TX 77355-5871 | 2020-10-12 |
| 1063019784 | Charlene Phillips | Psychologist | 702 Woodlytown Rd, Magnolia, DE 19962-1622 | 2020-10-06 |
| 1841897048 | Farida Abdalla | Psychologist | 529 W Birdie Ln, Magnolia, DE 19962-3116 | 2020-10-01 |
| 1740897073 | Darlene Cunningham | Psychologist | 128 Glenn Forest Rd, Magnolia, DE 19962-1702 | 2020-09-30 |
| 1962019992 | Nina Galvan | Psychologist | 19 Edgewater Dr, Magnolia, DE 19962-9706 | 2020-09-24 |
| 1053926550 | Privia Medical Group Gulf Coast, Pllc | Internal Medicine | 10020 Research Forest Dr Ste D, Magnolia, TX 77354-6780 | 2020-09-11 |
| Find all providers in MAGNOLIA | ||||
| 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 |
| 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 |
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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.