Organization Active NPI

Magnolia Health Care Corporation

  • Durable Medical Equipment & Medical Supplies
  • Alexandria, LA
National Provider Identifier
1174606115
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MAGNOLIA HEALTH CARE CORPORATION
Practice address
3840 Independence Dr
Suite B
Alexandria, LA 71303-3533
Phone
(318) 445-4559
Fax
(318) 445-4656
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Authorized official

Name
Mr. Teddy Ray Price
Title
Owner
Phone
(318) 445-4559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3840 Independence Dr
Suite B
Alexandria, LA 71303-3533

Mailing address

PO Box 12957
Alexandria, LA 71315-2957
Phone (318) 445-4559

Other identifiers 1

IdentifierTypeStateIssuer
1393452MedicaidLA

National Provider Directory

National Provider Directory

Locations

3840 Independence Dr
Ste B
Alexandria, LA 71303
Phone (318) 445-4559

3840 Independence Dr
Alexandria, LA 71303
Phone (318) 445-4559

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1174606115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12957",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713152957",
            "telephone_number": "318-445-4559",
            "fax_number": "318-445-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 INDEPENDENCE DR",
            "address_2": "SUITE B",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033533",
            "telephone_number": "318-445-4559",
            "fax_number": "318-445-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA HEALTH CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "TEDDY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-445-4559",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1393452",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.