MAGNOLIA REGIONAL HEALTH CENTER (NPI# 1407188501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407188501 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA REGIONAL HEALTH CENTER |
| Practice Address |
611 Alcron Drive Corinth MS 38834 |
| Practice Telephone | 6622931000 |
| Practice Fax Number | 6622934201 |
| Mailing Telephone | 6622931000 |
| Mailing Fax Number | 6622934201 |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2017-01-27 |
| Authorized Official Name | MR. RONNY HUMES (CEO) |
| Authorized Official Telephone | 6622937661 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09013279 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063576247 | Magnolia Regional Health Center | Home Health | 1001 S Harper Rd, Corinth, MS 38834-6646 | 2006-12-21 |
| 1083103980 | Magnolia Regional Health Center | General Acute Care Hospital | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2018-05-07 |
| 1104279231 | Magnolia Regional Health Center | Internal Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2016-07-13 |
| 1497087928 | Magnolia Regional Health Center | Ambulance | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2010-02-09 |
| 1497913321 | Magnolia Regional Health Center | General Acute Care Hospital | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2008-05-28 |
| 1922266857 | Magnolia Regional Health Center | General Acute Care Hospital | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2008-05-28 |
| 1760649172 | Magnolia Regional Health Center | General Acute Care Hospital | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2008-05-22 |
| 1750548236 | Magnolia Regional Health Center | General Acute Care Hospital | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2008-05-21 |
| 1568629046 | Magnolia Regional Health Center | General Acute Care Hospital | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2008-05-21 |
| 1093879041 | Magnolia Regional Health Center | Hospice Care, Community Based | 1001 S Harper Rd, Corinth, MS 38834-6646 | 2006-12-21 |
| Street Address |
611 ALCRON DRIVE |
| City | CORINTH |
| State | MS |
| Zip Code | 38834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176824 | Crystalcare | Clinic/Center | 3124 N Shiloh Road, Corinth, MS 38834 | 2020-05-20 |
| 1962046680 | Wanda Lee Kilpatrick | Technician | 1206 Breckenridge St., Corinth, MS 38834 | 2019-11-06 |
| 1215595756 | Alanna Nunez Heflin | Dentist | 3127 E Shiloh Rd, Corinth, MS 38834 | 2019-05-30 |
| 1629530795 | A Port In The Storm (apits) | Clinic/Center | 102 N. Cass Street, Suite B, Corinth, MS 38834 | 2019-04-05 |
| 1538654199 | Jerry Wayne Latch | Durable Medical Equipment & Medical Supplies | 206 N Fillmore St, Corinth, MS 38834 | 2018-06-26 |
| 1194215681 | Brooks Medical Clinic | Clinic/Center | 2113 South Tate Street, Corinth, MS 38834 | 2018-05-10 |
| 1164938650 | Pediatric Dentistry of Corinth | Dentist | 1500 N Harper Rd #5, Pediatric Dentistry of Corinth, Corinth, MS 38834 | 2017-12-19 |
| 1467964536 | King Speech-language Therapy, LLC | Speech-Language Pathologist | 2203 Hwy 72 East, Corinth, MS 38834 | 2017-10-30 |
| 1841669728 | Glenda Gatlin | Social Worker | 14 Cr 305, Corinth, MS 38834 | 2015-09-21 |
| 1649646555 | Amanda Word | Social Worker | 303 North Madison Street, Corinth, MS 38834 | 2015-08-14 |
| Find all providers in zip 38834 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881959401 | Magnolia Specialty Clinic | Psychiatry & Neurology | 3704 Hwy. 72 West, Corinth, MS 38834-8556 | 2012-07-10 |
| 1104844505 | Andrew Linn Kerby | Psychiatry & Neurology | 123 Alcorn Drive, Corinth, MS 38834 | 2006-07-17 |
| 1265465264 | Shiloh Neurology | Psychiatry & Neurology | 2425 Proper St, Corinth, MS 38834-5394 | 2006-07-10 |
| 1649788894 | Shiloh Neurology PC | Psychiatry & Neurology | 123 Alcorn Drive, Corinth, MS 38834 | 2018-01-22 |
| 1770501173 | William Earl Owens | Psychiatry & Neurology | 2425 Proper St, Corinth, MS 38834-5394 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871101378 | North Mississippi Medical Center, Inc. | Psychiatry & Neurology | 408 Council Cir Ste B, Tupelo, MS 38801-4949 | 2020-07-21 |
| 1376168500 | Ms Care Clinic, Inc | Psychiatry & Neurology | 625 S Pear Orchard Rd Ste B, Ridgeland, MS 39157-4836 | 2020-06-12 |
| 1528303401 | Dave Allen Roberts | Psychiatry & Neurology | 107 Candlewick Rd, Hattiesburg, MS 39402-3010 | 2012-12-04 |
| 1538436167 | Mid-south Neurology-sleep Medical Clinic Pllc | Psychiatry & Neurology | 5740 Getwell Rd Bldg 6, Southaven, MS 38672-6346 | 2011-11-28 |
| 1629379078 | Bolivar Physician Practices LLC | Psychiatry & Neurology | 903 East Sunflower Rd, Suite 400, Cleveland, MS 38732-2551 | 2010-11-16 |
| 1235454059 | Mitchell Myers, M.d. | Psychiatry & Neurology | 2906 North State Street, Suite 301, Jackson, MS 39216 | 2010-04-05 |
| 1639309685 | Syed Baqer Sadiq | Psychiatry & Neurology | 3603 Bienville Blvd Ste 102, Ocean Springs, MS 39564-5736 | 2009-07-23 |
| 1770717449 | Precise Clinical Neuroscience Specialists | Psychiatry & Neurology | 3531 Lakeland Dr Ste 1060, Flowood, MS 39232-8016 | 2009-05-11 |
| 1295978435 | Memorial Hospital At Gulfport | Psychiatry & Neurology | 5407 Indian Hill Blvd, Diamondhead, MS 39525-3324 | 2009-04-17 |
| 1033381348 | Diane E Ross Md Pa | Psychiatry & Neurology | 2160 E Pass Road, Suite D, Gulfport, MS 39507-3801 | 2008-03-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.