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Organization
MAGNOLIA REGIONAL MEDICAL CENTER
Active
Organization
MAGNOLIA REGIONAL MEDICAL CENTER
Active
Other names
Magnolia Breastcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REX E JONES (CHIEF EXECUTIVE OFFICER)
(870) 235-3212
Entity
Organization
Contact information
Practice address
101 HOSPITAL DR, MAGNOLIA, AR 71753-2415
(870) 235-3000
(870) 235-3667
Mailing address
PO BOX 629, MAGNOLIA, AR 71754-0629
(870) 235-3000
(870) 235-3667
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
770005905
BREASTCARE
AR
Enumeration date
05/26/2006
Last updated
01/17/2017
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