Magnolia Medical Clinic

LBN: East Mississippi State Hospital
Magnolia Medical Clinic is an health care organization with primary practice located at 1818 College Drive , Meridian MS 39307-5429. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. East Mississippi State Hospital can be contacted via phone (601) 581-7562, or through Carlisle, Charles via phone (601) 581-7878.

Contact Information

Primary practice address
1818 College Drive Meridian MS 39307-5429
Phone: (601) 581-7562
Fax: (601) 581-7676
Website:
Map and Directions
Authorized official contact:
Name: Carlisle, Charles
Phone: (601) 581-7878

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 31-136 Mississippi

Profile Details

NPI number 1346522653
LBN Legal business name East Mississippi State Hospital
DBA Doing business as Magnolia Medical Clinic
Authorized official Carlisle, Charles
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 13th, 2011
Last updated May 12th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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