MAGNOLIA SURGERY CENTER LLC NPI 1043565542

NPI Information

  • NPI: 1043565542
  • Provider Name: MAGNOLIA SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 25 COLUMBIA ROAD 47
    MAGNOLIA, AR
    ZIP 71753
  • Phone: (870) 234-5665

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NPI Details

MAGNOLIA SURGERY CENTER, LLC is an ambulatory surgical clinic center in Magnolia, AR. MAGNOLIA SURGERY CENTER, LLC NPI is 1043565542. The provider is registered as an organization entity type.

The provider's business location address is:

25 COLUMBIA ROAD 47
MAGNOLIA, AR
ZIP 71753
Phone: (870) 234-5665
Fax: (870) 234-5665

The provider's authorized official is Ivory A Kinslow .
The authorized official title is Owner/medical Director and has the following contact phone number (870) 234-5665.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Injection, bimatoprost, intracameral implant, 1 microgram (HCPCS:J7351)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Injection of medication into eye (HCPCS:66030)

The enumeration date for this NPI number is 7/20/2012 and was last updated on 8/20/2025.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1295574OTHERARKANSASMEDICARE PTAN

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: 11/21/2025

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