Magnolia Manor At Tupelo

LBN: Magnolia Manor At Tupelo
Magnolia Manor At Tupelo is an health care organization with primary practice located at 5427A Fain Ln , Belden MS 38826-9214. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Magnolia Manor At Tupelo can be contacted via phone (662) 397-2733, or through Haynes, Debra D via phone (662) 842-6776.

Contact Information

Primary practice address
5427A Fain Ln Belden MS 38826-9214
Phone: (662) 397-2733
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Haynes, Debra D
Phone: (662) 842-6776

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X 1000 Mississippi

Profile Details

NPI number 1538204094
LBN Legal business name Magnolia Manor At Tupelo
DBA Doing business as
Authorized official Haynes, Debra D
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
Last updated Aug 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538204094 NPPES
Mississippi MEDICAID 03083202

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