Organization
FREEDOM HOSPITAL OF MAGNOLIA LLC
Active
Parent organization
FREEDOM HOSPITAL OF MAGNOLIA LLC
Other names
Beacham Memorial Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
FREEDOM HOSPITAL OF MAGNOLIA LLC
Authorized official
MR. TIMOTHY J REED (ADMINISTRATOR/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
PO BOX 351, MAGNOLIA, MS 39652-0351
(601) 783-2353
(601) 783-9003
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
16-275
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000080027
BLUE CROSS
MS
01
—
00020043
BLUE CROSS
—
05
—
250049
—
MS
Enumeration date
11/12/2010
Last updated
05/10/2016
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