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MAGNOLIA FAMILY CLINIC NPI 1508303348


NPI Information

NPI: 1508303348
Provider Name: MAGNOLIA FAMILY CLINIC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 25D0888719

Address:
82 MAIN ST
RIENZI, MS
ZIP 38865
Phone: (662) 293-6699
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MAGNOLIA FAMILY CLINIC is a family medicine in Rienzi, MS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MAGNOLIA FAMILY CLINIC NPI is 1508303348. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

82 MAIN ST
RIENZI, MS
ZIP 38865-144
Phone: (662) 293-6699
Fax: (662) 293-6698

The provider's authorized official is Deonne Henry .
The authorized official title is Executive Director and has the following contact phone number (662) 293-1076.

The CLIA number assigned to this NPI record is 25D0888719 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/31/2017 and was last updated on 7/15/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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