| Magnolia Grove Healthcare | |
|
4333 15th St Ste A Gulfport MS 39501-2525 | |
| (228) 863-4000 | |
| (228) 863-4003 |
| Full Name | Magnolia Grove Healthcare |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4333 15th St Ste A, Gulfport, Mississippi |
| Authorized Official Name and Position | Tracey Decena (OFFICE MANAGER) |
| Authorized Official Contact | 2288634000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Grove Healthcare Po Box 1040 Gulfport MS 39502-1040 Ph: (228) 863-4000 | Magnolia Grove Healthcare 4333 15th St Ste A Gulfport MS 39501-2525 Ph: (228) 863-4000 |
| NPI Number | 1710179395 |
|---|---|
| Provider Enumeration Date | 08/16/2007 |
| Last Update Date | 08/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710179395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 12792 (Mississippi) | Primary |
Centerwell Senior Primary Care-gulfport Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12057 Highway 49 Ste C, Gulfport, MS 39503 Phone: 228-832-9385 Fax: 877-504-6444 | |
My Brother's Keeper, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1221 Bridge St, Gulfport, MS 39507 Phone: 769-216-2455 | |
The Healing Hub Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 29th Ave Ste 26, Gulfport, MS 39501 Phone: 228-380-0662 | |
Children's International, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15465 Oak Ln, Gulfport, MS 39503 Phone: 228-831-8800 Fax: 228-831-8020 | |
Coastal Family Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501 Phone: 228-864-0003 Fax: 228-374-0856 | |
Gulf Coast Endocrinology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4540 W Railroad St, Gulfport, MS 39501 Phone: 228-867-6062 Fax: 228-867-2598 | |
Physicians Clinic At Mhg Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12261 Highway 49, Suite 11 F, Gulfport, MS 39503 Phone: 228-867-5185 Fax: 228-867-5186 |