| Magnolia Regional Community Care Clinic | |
|
703 Alcom Drive 109 Corinth MS 38834-9302 | |
| (662) 293-1680 | |
| (662) 293-1595 |
| Full Name | Magnolia Regional Community Care Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 703 Alcom Drive, Corinth, Mississippi |
| Authorized Official Name and Position | Howard D. Nelson (VP PHYSICAIN SERVICES) |
| Authorized Official Contact | 6622937618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Regional Community Care Clinic 401 Alcorn Dr Ste 2c Corinth MS 38834-9073 Ph: (662) 293-7618 | Magnolia Regional Community Care Clinic 703 Alcom Drive 109 Corinth MS 38834-9302 Ph: (662) 293-1680 |
| NPI Number | 1639338577 |
|---|---|
| Provider Enumeration Date | 06/05/2008 |
| Last Update Date | 05/14/2021 |
| Medicare PECOS PAC ID | 1254408594 |
|---|---|
| Medicare Enrollment ID | O20080929000146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639338577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sidney K Pace |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003855784 PECOS PAC ID: 4284611799 Enrollment ID: I20040702000082 |
| Provider Name | Phyllis C Fiveash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689996282 PECOS PAC ID: 9830223825 Enrollment ID: I20100812000539 |
| Provider Name | William G Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407852072 PECOS PAC ID: 1850580796 Enrollment ID: I20110112000143 |
| Provider Name | Michael W Hawley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174872824 PECOS PAC ID: 6901048024 Enrollment ID: I20130820000062 |
| Provider Name | Joy Hyacinth Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134356090 PECOS PAC ID: 4486819018 Enrollment ID: I20131017000733 |
| Provider Name | Valerie D Norton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770855173 PECOS PAC ID: 3173749736 Enrollment ID: I20140717001456 |
| Provider Name | Margaret H Baker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982970166 PECOS PAC ID: 1355571183 Enrollment ID: I20150916000971 |
| Provider Name | Seger Stacy Morris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487918900 PECOS PAC ID: 8022334861 Enrollment ID: I20151202000688 |
| Provider Name | John P Preece |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750723110 PECOS PAC ID: 8527359645 Enrollment ID: I20160621002000 |
| Provider Name | Cody G Stroupe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780095901 PECOS PAC ID: 1456647502 Enrollment ID: I20171205001914 |
| Provider Name | Kerri E. Sumler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902301237 PECOS PAC ID: 1052675808 Enrollment ID: I20180503001154 |
Mrh Medical Group, Corinth Alcorn Dr. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 508 Alcorn Dr, Corinth, MS 38834 Phone: 663-396-4733 | |
Magnolia Physician Services, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 662-293-7618 | |
Magnolia Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 703 Alcorn Dr, Suite 109, Corinth, MS 38834 Phone: 662-286-1499 Fax: 662-286-9041 | |
Magnolia Regional Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3714 Highway 72 W, Corinth, MS 38834 Phone: 662-293-1575 Fax: 662-293-1576 | |
Magnolia Infectious Disease Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 662-293-1000 | |
Magnolia Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Norman Rd, Corinth, MS 38834 Phone: 662-293-1000 | |
Magnolia Specialty Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3704 Highway 72 W, Corinth, MS 38834 Phone: 662-665-8041 Fax: 662-665-8049 |