| Magnolia Medical Clinics | |
|
1171 Hart St Canton MS 39046-4805 | |
| (601) 859-9888 | |
| (601) 859-9004 |
| Full Name | Magnolia Medical Clinics |
|---|---|
| Speciality | Clinic/Center |
| Location | 1171 Hart St, Canton, Mississippi |
| Authorized Official Name and Position | Parvesh K. Goel (MD) |
| Authorized Official Contact | 6627463555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Medical Clinics Po Box 607 Canton MS 39046-0607 Ph: (662) 746-3555 | Magnolia Medical Clinics 1171 Hart St Canton MS 39046-4805 Ph: (601) 859-9888 |
| NPI Number | 1225320708 |
|---|---|
| Provider Enumeration Date | 05/03/2011 |
| Last Update Date | 02/06/2024 |
| Medicare PECOS PAC ID | 6406859446 |
|---|---|
| Medicare Enrollment ID | O20110909002842 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225320708 | NPI | - | NPPES |
| 06572715 | Medicaid | MS | |
| 07228530 | Medicaid | MS | |
| 00118231 | Medicaid | MS | |
| 02679823 | Medicaid | MS | |
| 09238061 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 15405 (Mississippi) | Primary |
Dr. Arenia C. Mallory Community Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 276 Nissan Parkway, Building C, Suite 100, Canton, MS 39046 Phone: 601-855-5275 Fax: 601-859-3253 | |
G A Carmichael Family Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1668 W Peace St, Canton, MS 39046 Phone: 601-859-5213 Fax: 601-859-8771 | |
Mea Primary Care Plus Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Southlake Cir, Canton, MS 39046 Phone: 601-859-8550 | |
G A Carmichael Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1421 E Peace St Ste B, Canton, MS 39046 Phone: 601-855-2516 Fax: 601-859-8771 | |
Everycare Express Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 162 Feather Ln, Suite E, Canton, MS 39046 Phone: 601-859-0140 | |
Quad Intermed Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Southlake Cir, Canton, MS 39046 Phone: 601-859-8550 |