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MAGNOLIA URGENT CARE NPI 1083317317


NPI Information

NPI: 1083317317
Provider Name: MAGNOLIA URGENT CARE
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 25D2279592

Address:
6400 HWY 11 NORTH
PICAYUNE, MS
ZIP 39466
Phone: (601) 699-9846
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MAGNOLIA URGENT CARE is an urgent care clinic center in Picayune, MS. MAGNOLIA URGENT CARE NPI is 1083317317. The provider is registered as an organization entity type.

The provider's business location address is:

6400 HWY 11 NORTH
PICAYUNE, MS
ZIP 39466
Phone: (601) 699-9846
Fax: (601) 799-0052

The provider's authorized official is Ahmad A Haidar .
The authorized official title is Owner/ Member/ Physician and has the following contact phone number (601) 699-9846.

The CLIA number assigned to this NPI record is 25D2279592 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/24/2023 and was last updated on 3/24/2023.


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
1261QU0200XClinic/CenterUrgent CareYes

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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