East Ms State Hospital

LBN: Magnolia Clinic
East Ms State Hospital is an health care organization with primary practice located at 4555 Highland Park Dr , Meridian MS 39307-5429. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Magnolia Clinic can be contacted via phone (601) 481-1135, or through Carlisle, Charles via phone (601) 581-7836.

Contact Information

Primary practice address
4555 Highland Park Dr Meridian MS 39307-5429
Phone: (601) 481-1135
Fax: (601) 581-7676
Website:
Map and Directions
Authorized official contact:
Name: Carlisle, Charles MPPA
Phone: (601) 581-7836

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 31 136 Mississippi

Profile Details

NPI number 1093038234
LBN Legal business name Magnolia Clinic
DBA Doing business as East Ms State Hospital
Authorized official Carlisle, Charles MPPA
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2010
Last updated Mar 2nd, 2010 - about 14 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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