National Provider Identifier Database

MAGNOLIA MANOR OF TUPELO
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

MAGNOLIA MANOR OF TUPELO
1514 COUNTY ROAD 41
TUPELO, MS38801-0681
Phone: 662-842-6776
Fax: 662-842-6512
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for MAGNOLIA MANOR OF TUPELO

NPI Number 1558545210
Legal business name
LBN
MAGNOLIA MANOR OF TUPELO
Authorized official DONNA PHARR - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 12/18/2007
Last updated 12/18/2007 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: 1000
  • MS Medicaid: 03083202

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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