Magnolia Manor Of Tupelo

LBN: Magnolia Manor Of Tupelo
Magnolia Manor Of Tupelo is an health care organization with primary practice located at 1514 County Road 41 , Tupelo MS 38801-0681. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Magnolia Manor Of Tupelo can be contacted via phone (662) 842-6776, or through Pharr, Donna via phone (662) 842-6776.

Contact Information

Primary practice address
1514 County Road 41 Tupelo MS 38801-0681
Phone: (662) 842-6776
Fax: (662) 842-6512
Website:
Map and Directions
Authorized official contact:
Name: Pharr, Donna
Phone: (662) 842-6776

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 1000 Mississippi

Profile Details

NPI number 1558545210
LBN Legal business name Magnolia Manor Of Tupelo
DBA Doing business as
Authorized official Pharr, Donna
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2007
Last updated Dec 18th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558545210 NPPES
Mississippi MEDICAID 03083202

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