Organization
MAGNOLIA HOSPITALITY INC.
Active
Organization
MAGNOLIA HOSPITALITY INC.
Active
Other names
Magnolia Critical Care and Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
RACHNA PURI (OFFICE MANAGER)
(573) 874-3235
Entity
Organization
Contact information
Practice address
2475 BROADWAY BLUFFS DRIVE, STE. 301, COLUMBIA, MO 65201-8128
(573) 874-3235
(573) 817-5917
Mailing address
2475 BROADWAY BLUFFS DRIVE, STE. 301, COLUMBIA, MO 65201-8128
(573) 874-3235
(573) 817-5917
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
509179305
—
MO
Enumeration date
09/27/2006
Last updated
11/19/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up