| Beacham Memorial Hospital | |
|
205 N Cherry St Magnolia MS 39652-2819 | |
| (601) 783-2353 | |
| (601) 783-9003 |
| Full Name | Beacham Memorial Hospital |
|---|---|
| Speciality | General Practice |
| Location | 205 N Cherry St, Magnolia, Mississippi |
| Authorized Official Name and Position | Timothy Jason Reed (CEO) |
| Authorized Official Contact | 3378021336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacham Memorial Hospital 4815 Ihles Rd Lake Charles LA 70605-5900 Ph: (337) 802-1336 | Beacham Memorial Hospital 205 N Cherry St Magnolia MS 39652-2819 Ph: (601) 783-2353 |
| NPI Number | 1598212490 |
|---|---|
| Provider Enumeration Date | 09/08/2016 |
| Last Update Date | 09/08/2016 |
| Medicare PECOS PAC ID | 4082910393 |
|---|---|
| Medicare Enrollment ID | O20170216001965 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598212490 | NPI | - | NPPES |
| 20043 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Lucius M Lampton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689781007 PECOS PAC ID: 0547221798 Enrollment ID: I20041021000705 |
| Provider Name | Betty G Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023067766 PECOS PAC ID: 5799818472 Enrollment ID: I20100802000439 |
| Provider Name | Alisa Britney Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023635166 PECOS PAC ID: 0547675316 Enrollment ID: I20210209002610 |
| Provider Name | Lindsey J Nobles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154901445 PECOS PAC ID: 5597167684 Enrollment ID: I20210825002595 |
| Provider Name | Rebecca Ann Rayborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710674155 PECOS PAC ID: 6204292444 Enrollment ID: I20230515001107 |
Lampton Medical Associates, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 310 S Cherry St, Magnolia, MS 39652 Phone: 601-248-8586 Fax: 601-981-5542 | |
Magnolia Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 111 Magnolia St, Magnolia, MS 39652 Phone: 601-783-0374 Fax: 601-783-5126 | |
Angel Wings Community Healthcare Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 215 Magnolia St, Magnolia, MS 39652 Phone: 601-869-0299 Fax: 601-680-3216 | |
Beacham Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 E Myrtle St, Magnolia, MS 39652 Phone: 601-783-2353 Fax: 601-783-9003 | |
Beacham Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 N Cherry St, Magnolia, MS 39652 Phone: 601-783-2353 Fax: 601-783-9003 |