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Magnolia Manor Of Tupelo
Preferred Provider Organization in Tupelo, Mississippi
NPI 1558545210

Magnolia Manor Of Tupelo is a Preferred Provider Organization based in Tupelo, MS. Magnolia Manor Of Tupelo practices in Tupelo, MS. The NPI Number for Magnolia Manor Of Tupelo is 1558545210 and holds a License No. 1000 (Mississippi).

The current practice location address for Magnolia Manor Of Tupelo is 1514 County Road 41, Tupelo, MS and can be reached out via phone at 662-842-6776 and via fax at 662-842-6512.

Location: 1514 County Road 41, Tupelo, MS, 38801-0681
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558545210
Provider Name
Magnolia Manor Of Tupelo
Credential
Provider Entity Type
Organization
Address
1514 County Road 41, Tupelo, MS, 38801-0681
Phone Number
662-842-6776
Fax Number
662-842-6512
Provider Enumeration Date
12/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03083202 05 MS
institution
Provider Business Practice Location Address Details
Address
1514 County Road 41
City
Tupelo
State
Mississippi
Zip
38801-0681
Phone Number
662-842-6776
Fax Number
662-842-6512
person
Provider Business Mailing Address Details
Address
1514 County Road 41
City
Tupelo
State
Mississippi
Zip
38801-0681
Phone Number
662-842-6776
Fax Number
662-842-6512
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
1000 (Mississippi)
Definition
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.
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