MAGNOLIA REGIONAL MEDICAL CENTER NPI 1861445082

NPI Information

NPI: 1861445082
Provider Name: MAGNOLIA REGIONAL MEDICAL CENTER

Other Name: MAGNOLIA MEDICAL CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
707 N WASHINGTON
MAGNOLIA, AR
ZIP 71754
Phone: (870) 235-3650
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MAGNOLIA REGIONAL MEDICAL CENTER is a rural health clinic center in Magnolia, AR. MAGNOLIA REGIONAL MEDICAL CENTER NPI is 1861445082. The provider is registered as an organization entity type.
The provider Other Name Is Magnolia Medical Clinic.

The provider's business location address is:

707 N WASHINGTON
MAGNOLIA, AR
ZIP 71754
Phone: (870) 235-3650
Fax: (870) 235-3653

The provider's authorized official is Margaret West .
The authorized official title is Ceo and has the following contact phone number (870) 235-3211.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 5/21/2014.

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	261QR1300X	Clinic/Center	Rural Health			Yes

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
1	123010729	MEDICAID	ARKANSAS
2	770306502	OTHER	ARKANSAS	BREASTCARE
3	5C300	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	1500 PROVIDER NUMBER
4	043992	MEDICARE ID-TYPE UNSPECIFIED	ARKANSAS	RURAL HEALTH PROVIDER UB

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: 4/28/2024

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