Organization
MAGNOLIA REGIONAL MEDICAL CENTER
Active
Other names
Magnolia Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET WEST (CEO)
(870) 235-3211
Entity
Organization
Contact information
Practice address
707 N WASHINGTON, MAGNOLIA, AR 71754
(870) 235-3650
(870) 235-3653
Mailing address
PO BOX 629, MAGNOLIA, AR 71754-0629
(870) 235-3000
(870) 235-3653
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123010729
—
AR
01
—
770306502
BREASTCARE
AR
Enumeration date
05/18/2006
Last updated
05/21/2014
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