Organization
MAGNOLIA HEALTHCARE REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY L. MONDAY (BILLING ADMIN)
(601) 296-2552
Entity
Organization
Contact information
Practice address
1 LINCOLN PKWY, SUITE104, HATTIESBURG, MS 39402-3262
(601) 268-3292
(601) 296-2554
Mailing address
PO BOX 16325, HATTIESBURG, MS 39404-6325
(601) 296-2552
(601) 296-2554
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01537007
—
MS
01
—
DA5495
RAILROAD MEDICARE
MS
Enumeration date
10/04/2006
Last updated
08/07/2011
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