EAST MISSISSIPPI STATE HOSPITAL NPI 1346522653

NPI Information

NPI: 1346522653
Provider Name: EAST MISSISSIPPI STATE HOSPITAL

Doing Business As: MAGNOLIA MEDICAL CLINIC

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1818 COLLEGE DRIVE
MERIDIAN, MS
ZIP 39307
Phone: (601) 581-7562
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EAST MISSISSIPPI STATE HOSPITAL is a multi-specialty clinic center in Meridian, MS. EAST MISSISSIPPI STATE HOSPITAL NPI is 1346522653. The provider is registered as an organization entity type.
The provider Is Doing Business As Magnolia Medical Clinic.

The provider's business location address is:

1818 COLLEGE DRIVE
MERIDIAN, MS
ZIP 39307-429
Phone: (601) 581-7562
Fax: (601) 581-7676

The provider's authorized official is Charles Carlisle .
The authorized official title is Hospital Director and has the following contact phone number (601) 581-7878.

The enumeration date for this NPI number is 9/13/2011 and was last updated on 5/12/2020.

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
1	261QM1300X	Clinic/Center	Multi-Specialty	31-136	MISSISSIPPI	Yes

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: 11/14/2023

NPI Synchronization or Removal

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