MAGNOLIA MEDICAL SUPPLIES, LLC (NPI# 1558902544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558902544 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA MEDICAL SUPPLIES, LLC |
| Practice Address |
102 Carrollton Ave Lexington MS 39095-3250 |
| Practice Telephone | 6628341721 |
| Practice Fax Number | 6628341721 |
| Mailing Telephone | 6628341721 |
| Mailing Fax Number | 6628341721 |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-08 |
| Authorized Official Name | DORIS SANFORD (OWNER) |
| Authorized Official Telephone | 6016136822 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
| Street Address |
102 CARROLLTON AVE |
| City | LEXINGTON |
| State | MS |
| Zip Code | 39095-3250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043220312 | Heather Killebrew Tutor | Dentist | 102 Carrollton Ave, Lexington, MS 39095-3250 | 2006-08-09 |
| 1548800527 | Hometown Family Care, LLC | Nurse Practitioner | 102 Carrollton Ave, Lexington, MS 39095-3250 | 2020-01-08 |
| 1528600772 | Kimberly Mitchell Word | Nurse Practitioner | 102 Carrollton Ave, Lexington, MS 39095-3250 | 2019-10-09 |
| 1669607016 | Samuel Reid Lester | Dentist | 102 Carrollton Ave, Lexington, MS 39095-3250 | 2009-05-28 |
| 1891907440 | Charles W Campbell Md Pa | Clinic/Center | 102 Carrollton Ave, Lexington, MS 39095-3250 | 2007-05-04 |
| 1649316233 | Doris Plunkett Sanford | Nurse Practitioner | 102 Carrollton Ave, Lexington, MS 39095-3250 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295282358 | Mallory Community Health | Clinic/Center | 9749 Brozville Road, Lexington, MS 39095 | 2016-09-07 |
| 1336596170 | Telehealthone, LLC | Nurse Practitioner | 301 Yazoo Street, Lexington, MS 39095 | 2016-05-23 |
| 1740624881 | Mallory Community Health | Clinic/Center | 300 Yazoo Street, Lexington, MS 39095 | 2013-04-19 |
| 1912245671 | Ciera N Draine | Social Worker | Dr Arenia C Mallory Community Health Center, 17280 Highway 17 S, Lexington, MS 39095 | 2013-01-30 |
| 1184933384 | John D. Whitehead | Durable Medical Equipment & Medical Supplies | 22743 Hwy 12, Lexington, MS 39095 | 2010-10-05 |
| 1942536552 | Durant Primary Care Clinic | Clinic/Center | 22741 Bowling Green Rd, Lexington, MS 39095 | 2009-11-02 |
| 1205082963 | Heather Killebrew Tutor, Dmd, Pa | Dentist | 302 Court Square, Lexington, MS 39095 | 2008-08-13 |
| 1023145430 | Charles D Howard | Dentist | 102 Wall St, Lexington, MS 39095 | 2007-02-27 |
| 1619069622 | Charles Walton Campbell | Family Medicine | 102 Carrollton St, Lexington, MS 39095 | 2006-09-28 |
| 1972617876 | Lexington Primary Care | Clinic/Center | 110 Tchula Street, Lexington Primary Care, Lexington, MS 39095 | 2006-08-18 |
| Find all providers in zip 39095 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417321019 | Wecare Medical, LLC | Durable Medical Equipment & Medical Supplies | 2644 Richmond Rd, Lexington, KY 40509-1501 | 2015-11-19 |
| 1659719557 | Lexington Medical Supply | Durable Medical Equipment & Medical Supplies | 22743 Highway 12, Lexington, MS 39095-3118 | 2013-06-13 |
| 1184933384 | John D. Whitehead | Durable Medical Equipment & Medical Supplies | 22743 Hwy 12, Lexington, MS 39095 | 2010-10-05 |
| 1548591175 | Braden Partners Lp | Durable Medical Equipment & Medical Supplies | 208 Gold Rush Rd, Ste 10, Lexington, KY 40503-2930 | 2010-01-21 |
| 1689854747 | Associates In Health Care, Inc | Durable Medical Equipment & Medical Supplies | 841 Corporate Dr Ste 107, Lexington, KY 40503-5421 | 2007-11-06 |
| 1932391208 | Bluegrass Oxygen Inc | Durable Medical Equipment & Medical Supplies | 983 Primrose Ct, Lexington, KY 40511-1232 | 2007-08-10 |
| 1982639555 | Pro2 Lexington, LLC | Durable Medical Equipment & Medical Supplies | 198 Moore Dr, Suite 106, Lexington, KY 40503-2944 | 2006-07-12 |
| 1003843566 | Cooley Medical Equipment, Inc Dba Pai | Durable Medical Equipment & Medical Supplies | 1316 S Broadway, Lexington, KY 40504-2737 | 2006-06-28 |
| 1497704811 | Medical Comfort Systems | Durable Medical Equipment & Medical Supplies | 112a White Oak Ln, Lexington, SC 29073-9465 | 2006-05-10 |
| 1962450163 | Carolina Medical Equipment, Inc | Durable Medical Equipment & Medical Supplies | 4787 Sunset Blvd, Lexington, SC 29072-9151 | 2006-05-04 |
| Find all providers in LEXINGTON | ||||
Please comment or provide details below to improve the information on MAGNOLIA MEDICAL SUPPLIES, LLC.
| 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.