Organization
FREEDOM HOSPITAL OF MAGNOLIA LLC
Active
Other names
Beacham Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY JASON REED (CEO)
(337) 802-1336
Entity
Organization
Contact information
Practice address
205 N CHERRY ST, MAGNOLIA, MS 39652-2819
(601) 783-2353
(601) 783-9003
Mailing address
4815 IHLES RD, LAKE CHARLES, LA 70605-5900
(337) 802-1336
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20043
—
MS
Enumeration date
09/08/2016
Last updated
09/08/2016
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