NPIMap

Organization Active NPI

Magnolia Healthcare Center LLC Group

  • Nurse Practitioner
  • Magnolia, AR
National Provider Identifier
1215209648
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A01537 Issued in AR
Legal business name
MAGNOLIA HEALTHCARE CENTER LLC GROUP
Practice address
2642 N Dudney Rd
Magnolia, AR 71753-4305
Phone
(870) 234-7000
Fax
(870) 234-7168
NPI assigned
Feb 1, 2012
Organization subpart
Yes
Parent organization
MAGNOLIA HEALTHCARE CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
Ms. Jeanne H Butterworth
Title
Member
Phone
(410) 527-4083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X A01537 AR Primary

Addresses

Primary practice location

2642 N Dudney Rd
Magnolia, AR 71753-4305

Mailing address

2642 N Dudney Rd
Magnolia, AR 71753-4305
Phone (870) 234-7000

National Provider Directory

National Provider Directory
Part of
Magnolia Healthcare Center LLC Group

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1215209648",
    "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",
            "telephone_number": "870-234-7000",
            "fax_number": "870-234-7168"
        },
        {
            "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": "870-234-7000",
            "fax_number": "870-234-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA HEALTHCARE CENTER LLC GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAGNOLIA HEALTHCARE CENTER LLC",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "BUTTERWORTH",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "410-527-4083",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A01537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.