NPIMap

Organization Active NPI

Magnolia Medical, LLC

  • Oxygen Equipment & Supplies (DME)
  • Vidalia, LA
National Provider Identifier
1285060681
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
MAGNOLIA MEDICAL, LLC
Practice address
400 Carter St
Vidalia, LA 71373-3307
Phone
(318) 336-6088
Fax
(318) 336-6095
NPI assigned
Sep 18, 2013
Organization subpart
Yes
Parent organization
MAGNOLIA MEDICAL, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Authorized official

Name
Mr. David Hyde
Title
Managing Partner
Phone
(225) 763-1314

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

400 Carter St
Vidalia, LA 71373-3307

Mailing address

304 Highland Blvd
Suite B
Natchez, MS 39120-4624
Phone (601) 442-6493

National Provider Directory

National Provider Directory
Tax ID family
Magnolia Medical LLC7 organizations share this tax ID, including this one
Part of
Magnolia Medical LLC

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1285060681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 HIGHLAND BLVD",
            "address_2": "SUITE B",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204624",
            "telephone_number": "601-442-6493",
            "fax_number": "601-442-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CARTER ST",
            "city": "VIDALIA",
            "state": "LA",
            "postal_code": "713733307",
            "telephone_number": "318-336-6088",
            "fax_number": "318-336-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA MEDICAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAGNOLIA MEDICAL, LLC",
        "enumeration_date": "2013-09-18",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "HYDE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "225-763-1314",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vidalia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.