Magnolia Urgent Care Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MAGNOLIA URGENT CARE INC

Practice address

2201 Highway 49 Ste B
Wiggins, MS 39577-8012

Phone

(601) 928-2798

Fax

(601) 928-2790

NPI assigned

Apr 3, 2012

Last updated

Apr 3, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Clifford Eugene Baker, NP

Title

Nurse Practitioner

Phone

(601) 928-2798

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1033475165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 HIGHWAY 49 STE B",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "395778012",
            "telephone_number": "601-928-2798",
            "fax_number": "601-928-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 HIGHWAY 49 STE B",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "395778012",
            "telephone_number": "601-928-2798",
            "fax_number": "601-928-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA URGENT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "601-928-2798",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louis Leitenberger, CMHT
• Gregory D Loose, OD
• Taylor Nicole Lusk, OTR/L
• Timothy Joseph Lutkins, P.T.
• Magnolia Smiles of Wiggins PLLC (Magnolia Smiles Family Dentistry PLLC)
• Lara McDonald, LPTA
• Michelle Lorraine McQueen, FNP
• Memorial Hospital at Gulfport (Memorial Stone County Medical Center)
• Memorial Hospital at Gulfport (Memorial Hospital at Stone County)
• Tina Miles

• Urgent Care Clinic/Center in Wiggins, MS
• Providers in Wiggins, MS by specialty
• Urgent Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.