Magnolia Endoscopy Center, Llc

LBN: Magnolia Endoscopy Center, Llc
Magnolia Endoscopy Center, Llc is an health care organization with primary practice located at 3050 Corder Dr , Corinth MS 38834-6210. The organization recently has only one registered license in Ambulatory Health Care Facilities / Endoscopy, which is considered as the primary health care specialty. Magnolia Endoscopy Center, Llc can be contacted via phone (662) 284-9902, or through Corder, Fredrick Alvin via phone (662) 284-9902.

Contact Information

Primary practice address
3050 Corder Dr Corinth MS 38834-6210
Phone: (662) 284-9902
Fax: (662) 284-9904
Website:
Map and Directions
Authorized official contact:
Name: Corder, Fredrick Alvin Doctor of Medicine (MD)
Phone: (662) 284-9902

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Endoscopy 261QE0800X

Profile Details

NPI number 1740264274
LBN Legal business name Magnolia Endoscopy Center, Llc
DBA Doing business as
Authorized official Corder, Fredrick Alvin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2005
Last updated Sep 8th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740264274 NPPES
Mississippi MEDICAID 00770615

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