Community Compassion Magnolia

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COMMUNITY COMPASSION MAGNOLIA

Practice address

2642 N Dudney Rd
Magnolia, AR 71753-4305

Phone

(501) 690-1335

NPI assigned

Aug 29, 2018

Last updated

Aug 29, 2018By 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. Randall A. Wyatt

Title

President

Phone

(501) 690-1335

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1154803997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2642 N DUDNEY RD",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717534305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2642 N DUDNEY RD",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717534305",
            "telephone_number": "501-690-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COMPASSION MAGNOLIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-690-1335",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Collier Pharmacy LLC (Millers Pharmacy)
• Erin Collier, PHARMD
• Collom & Carney Clinic Association (Southwest Arkansas Dialysis Unit)
• Columbia County Ambulance Service Co Inc
• Columbia Operations LLC
• Isabel Connor
• Lois D Cooper, EI SERVICE PROVIDER
• Sylvia Jean Crawford
• Katie Crew
• Jayson Todd Crisp

• Skilled Nursing Facility in Magnolia, AR
• Providers in Magnolia, AR by specialty
• Skilled Nursing Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.