MAGNOLIA REGIONAL COMMUNITY CARE CLINIC (NPI# 1639338577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639338577 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA REGIONAL COMMUNITY CARE CLINIC |
| Practice Address |
703 Alcom Drive 109 Corinth MS 38834-9302 |
| Mailing Address |
401 Alcorn Dr Ste 2c Corinth MS 38834-9073 |
| Practice Telephone | 6622931680 |
| Practice Fax Number | 6622931595 |
| Mailing Telephone | 6622937618 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2019-01-23 |
| Authorized Official Name | MR. HOWARD D. NELSON (VP PHYSICAIN SERVICES) |
| Authorized Official Telephone | 6622937618 |
| Is Organization Subpart | Y |
| Parent Organization Name | MAGNOLIA REGIONAL HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
703 ALCOM DRIVE 109 |
| City | CORINTH |
| State | MS |
| Zip Code | 38834-9302 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447812540 | Waqaar Ahmed Arshad | Internal Medicine | 3226 Kendrick Rd Apt 14, Corinth, MS 38834-9207 | 2019-06-28 |
| 1447633995 | Otto Boutin | Internal Medicine | 708 Cruise St Ste 201, Corinth, MS 38834-4820 | 2015-07-01 |
| 1508208992 | Mary Elizabeth Lindsey | Internal Medicine | 3704 Highway 72 W, Corinth, MS 38834-8556 | 2013-07-25 |
| 1770855173 | Valerie Dye Norton | Internal Medicine | 401 Alcorn Dr Ste 2b, Corinth, MS 38834 | 2012-01-31 |
| 1316108756 | Marissa Ordonez Cruz | Internal Medicine | 703 Alcorn Dr Ste 109, Corinth, MS 38834-9302 | 2008-06-18 |
| 1861663643 | Easy Care Medical Clinic,pllc | Internal Medicine | 2016 E Shiloh Rd, Corinth, MS 38834-3727 | 2008-03-19 |
| 1073522348 | Neil Sloan | Internal Medicine | 209 Alcorn Dr, Corinth, MS 38834-8400 | 2006-08-05 |
| 1861485179 | Robert H Mckinney | Internal Medicine | 3301 Tinin Dr, Corinth, MS 38834-9054 | 2005-08-23 |
| 1902423155 | John Raper | Internal Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-07-02 |
| 1275150625 | Brian Chase Bennett | Internal Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-07-01 |
| Find all providers in CORINTH | ||||
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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.