| Freedom Hospital Of Magnolia Llc | |
|
120 E Myrtle St Magnolia MS 39652-2834 | |
| (601) 783-2353 | |
| (601) 783-9003 |
| Full Name | Freedom Hospital Of Magnolia Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 120 E Myrtle St, Magnolia, Mississippi |
| Authorized Official Name and Position | Timothy J Reed (CEO) |
| Authorized Official Contact | 3378021336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Freedom Hospital Of Magnolia Llc Po Box 7935 Lake Charles LA 70606-7935 Ph: (337) 802-1336 | Freedom Hospital Of Magnolia Llc 120 E Myrtle St Magnolia MS 39652-2834 Ph: (601) 783-2353 |
| NPI Number | 1235686130 |
|---|---|
| Provider Enumeration Date | 09/08/2016 |
| Last Update Date | 05/31/2023 |
| Medicare PECOS PAC ID | 4082910393 |
|---|---|
| Medicare Enrollment ID | O20161115000486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235686130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Magnolia Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 111 Magnolia St, Magnolia, MS 39652 Phone: 601-783-0374 Fax: 601-783-5126 | |
Angel Wings Community Healthcare Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 215 Magnolia St, Magnolia, MS 39652 Phone: 601-869-0299 Fax: 601-680-3216 | |
Freedom Hospital Of Magnolia Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 N Cherry St, Magnolia, MS 39652 Phone: 601-783-2353 Fax: 601-783-9003 | |
Freedom Hospital Of Magnolia, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 N Cherry St, Magnolia, MS 39652 Phone: 601-783-2353 Fax: 601-783-9003 |