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Contact Information

FREEDOM HOSPITAL OF MAGNOLIA, LLC
205 N CHERRY ST
MAGNOLIA, MS39652-2819
 Phone: 601-783-2353
 Fax: 601-783-9003
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rural

282NR1301X
 

Psychiatric Unit

273R00000X A0[7] Hospital-Psychiatric Unit
 

Rural Health

261QR1300X B4[14] Rural Health Clinic
Indicates primary specialty

NPI Profile & details for FREEDOM HOSPITAL OF MAGNOLIA, LLC

NPI Number 1871953802
LBN Legal business name FREEDOM HOSPITAL OF MAGNOLIA, LLC
Authorized official JASON REED - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/03/2016
Last updated 07/05/2016 - About 10 years ago
Identifiers
MS License # 16-275
MS Medicaid 20043
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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