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Contact Information

MAGNOLIA HEALTH PLAN, INC.
1020 HIGHLAND COLONY PKWY
RIDGELAND, MS39157-2137
 Phone: 877-687-1187
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Maintenance Organization

302R00000X
Indicates primary specialty

NPI Profile & details for MAGNOLIA HEALTH PLAN, INC.

NPI Number 1386251908
LBN Legal business name MAGNOLIA HEALTH PLAN, INC.
Authorized official KENNETH KOSHOREK - (VP, ASSOCIATE GENERAL COUNSEL)
Entity Organization
Organization subpart 1 No
Enumeration date 09/28/2020
Last updated 11/14/2025 - About 7 months ago
Identifiers n/a
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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