SOUTH ARKANSAS REGIONAL HEALTH CENTER MAGNOLIA CLINIC (NPI# 1942412036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942412036 |
| Entity Type | Organization |
| Organization Name | SOUTH ARKANSAS REGIONAL HEALTH CENTER MAGNOLIA CLINIC |
| Practice Address |
412 N Vine Magnolia AR 71753-2842 |
| Mailing Address |
715 N College Ave El Dorado AR 71730-4403 |
| Practice Telephone | 8702347500 |
| Practice Fax Number | 8702348225 |
| Mailing Telephone | 8708627921 |
| Mailing Fax Number | 8708642490 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2008-11-14 |
| Authorized Official Name | DR. WILLIAM C PEEL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8708627921 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTH ARKANSAS REGIONAL HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 137438726 | 05 |
| Street Address |
412 N VINE |
| City | MAGNOLIA |
| State | AR |
| Zip Code | 71753-2842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376511121 | Rollie W Flaherty | Psychologist | 412 N Vine, Magnolia, AR 71753-2842 | 2006-03-09 |
| 1154899342 | Erin Wright | Case Manager/Care Coordinator | 412 N Vine, Magnolia, AR 71753-2842 | 2018-11-06 |
| 1932684685 | Regina Sheanell Irizarry | Case Manager/Care Coordinator | 412 N Vine, Magnolia, AR 71753-2842 | 2018-09-28 |
| 1033503396 | Scotectra Cochran | Case Manager/Care Coordinator | 412 N Vine, Magnolia, AR 71753-2842 | 2015-03-25 |
| 1174922140 | Zachary Tyler Seaton | Counselor | 412 N Vine, Magnolia, AR 71753 | 2014-08-15 |
| 1568740710 | Jamie Willis | Case Manager/Care Coordinator | 412 N Vine, Magnolia, AR 71753-2842 | 2011-07-21 |
| 1205114451 | Khara Foshee | Case Manager/Care Coordinator | 412 N Vine, Magnolia, AR 71753-2842 | 2011-07-21 |
| 1205122348 | Terries Wilson | Case Manager/Care Coordinator | 412 N Vine, Magnolia, AR 71753-2842 | 2011-06-28 |
| 1447407424 | Gloria Crow | Case Manager/Care Coordinator | 412 N Vine, Magnolia, AR 71753-2842 | 2008-08-21 |
| 1831346055 | Sylvia Dunn | Case Manager/Care Coordinator | 412 N Vine, Magnolia, AR 71753-2842 | 2008-08-19 |
| Find all providers in the same location | ||||
| 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 | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942854583 | Mava Healthcare System LLC | Clinic/Center | 18230 Fm 1488 Suite 201, Magnolia, TN 77354 | 2019-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113650 | Secure Foundation Counseling Pllc | Clinic/Center | 125 N Fisher St, Jonesboro, AR 72401-2116 | 2020-10-31 |
| 1558979781 | Creoks Mental Health Services, Inc | Clinic/Center | 301 Industrial Road, Mountain View, AR 72560 | 2020-07-14 |
| 1487272670 | Professional Counseling Associates Inc. | Clinic/Center | 977 East Cypress Street, Devalls Bluff, AR 72041 | 2020-07-14 |
| 1740807478 | Brighter Days Counseling and Wellness LLC | Clinic/Center | 100 Commercial Park Ct Apt 108, Maumelle, AR 72113-6986 | 2020-06-29 |
| 1861015745 | Counseling Associates, Inc. | Clinic/Center | 750 Boston St, Danville, AR 72833-7006 | 2020-05-26 |
| 1821610171 | Courageous Journey Psychological Services, LLC | Clinic/Center | 168 Bluefish Ave, Russellville, AR 72802-2407 | 2020-05-09 |
| 1891317293 | Cervantes Counseling Corporation | Clinic/Center | 406 Rena Rd, Van Buren, AR 72956-6507 | 2020-05-08 |
| 1487273199 | Restoring Hope Counseling and Consultation | Clinic/Center | 310 Mid Continent Plz Ste 325, West Memphis, AR 72301-1703 | 2020-04-13 |
| 1922637859 | New Patterns Counseling, LLC | Clinic/Center | 1905 Reveille Cir, Jacksonville, AR 72076-9157 | 2020-04-02 |
| 1417585019 | Positive Place Counseling and Consulting, LLC | Clinic/Center | 807 W 6th Ave, Pine Bluff, AR 71601-4031 | 2020-03-30 |
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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.