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Organization
MAGNOLIA HEALTH PLAN, INC.
Active
Organization
MAGNOLIA HEALTH PLAN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH KOSHOREK (VP, ASSOCIATE GENERAL COUNSEL)
(313) 720-5567
Entity
Organization
Contact information
Practice address
1020 HIGHLAND COLONY PKWY, RIDGELAND, MS 39157-2137
(877) 687-1187
Mailing address
7700 FORSYTH BLVD, SAINT LOUIS, MO 63105-1813
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
NULL
Other
Enumeration date
09/28/2020
Last updated
11/14/2025
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