# MAGNOLIA REGIONAL HEALTH SYSTEM INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Magnolia Primary Care Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023778115
- **Authorized official:** MR. WILLIAM D GILES (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (870) 235-3208

## Contact information

- **Practice address:** 104 E COLUMBIA, MAGNOLIA, AR 71753-2436
- **Practice address phone:** (870) 235-3550
- **Mailing address:** PO BOX 629, MAGNOLIA, AR 71754-0629
- **Mailing address phone:** (870) 235-3550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/30/2021
- **Last updated:** 07/14/2025