NPIMap

Organization Active NPI

Magnolia Regional Health System Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Magnolia, AR
National Provider Identifier
1093336026
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
MAGNOLIA REGIONAL HEALTH SYSTEM INC
Practice address
101 Hospital Dr
Magnolia, AR 71753-2415
Phone
(870) 235-3000
NPI assigned
Apr 30, 2020
Organization subpart
Yes
Parent organization
MAGNOLIA REGIONAL HEALTH SYSTEM INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Authorized official

Name
Mr. Rex E Jones
Title
Chief Executive Officer
Phone
(870) 235-3212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

101 Hospital Dr
Magnolia, AR 71753-2415

Mailing address

PO Box 629
Magnolia, AR 71754-0629
Phone (870) 235-3212

Other names 1

  • MRHS Swingbed Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200910003503 AR Part A Provider - Hospital 2668899899 Practice locations: Magnolia, AR

Hospital certification: CCN 04U067

Legal name
MAGNOLIA REGIONAL HEALTH SYSTEM INC
Organization structure
CorporationNon-profit
Incorporated
Feb 28, 2020 in AR
Enrollment address
101 Hospital Dr
Magnolia, AR 71753-2415
Hospital Swing-Bed Unit
Hospital subgroups
Swing-bed approved

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Magnolia Regional HLTH Syst5 organizations share this tax ID, including this one
Part of
Magnolia Regional HLTH Syst

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Shawana Reed Individual Corporate Director Oct 1, 2020
Roxane Stewart Individual Corporate OfficerChief Financial Officer Oct 1, 2020
W-2 Managing EmployeeChief Financial Officer Oct 1, 2020
Rex Jones Individual Corporate OfficerChief Executive Officer Oct 1, 2020
W-2 Managing EmployeeChief Executive Officer Oct 1, 2020
Walter Wood Individual Corporate Director Oct 1, 2020
Jonathan Baird Individual Corporate Director Oct 1, 2020
Karen Weido Individual W-2 Managing Employee Oct 1, 2020
Todd Emmert Individual Corporate Director Oct 1, 2020
John E Alexander Individual Corporate Director Oct 1, 2020
Bradley Smith Individual Corporate Director Oct 1, 2020
Angie Eaves Individual Corporate Director Oct 1, 2020

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Magnolia Regional Medical CenterMagnolia, AR, CCN 041336 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2020
Magnolia Regional Health System IncMagnolia, AR, CCN 048519 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2020

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1093336026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 629",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717540629",
            "telephone_number": "870-235-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL DR",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717532415",
            "telephone_number": "870-235-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA REGIONAL HEALTH SYSTEM INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAGNOLIA REGIONAL HEALTH SYSTEM INC",
        "enumeration_date": "2020-04-30",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "REX",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "870-235-3212",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MRHS Swingbed",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "MRHS Swingbed",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Magnolia, AR

Sources for this page

Verify at the official NPI Registry.