NPIMap

Organization Active NPI

Magnolia Regional Health Center

  • Rural Health Clinic/Center
  • Corinth, MS
National Provider Identifier
1356178149
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MAGNOLIA REGIONAL HEALTH CENTER
Practice address
3714 Highway 72 W
Corinth, MS 38834-8556
Phone
(662) 293-1575
NPI assigned
Sep 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Authorized official

Name
Shannon Palmer
Title
Director
Phone
(662) 293-1288

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

3714 Highway 72 W
Corinth, MS 38834-8556

Mailing address

401 Alcorn Dr Ste 2C
Corinth, MS 38834-9073
Phone (662) 293-1553

Other names 1

  • Magnolia Women's Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241210004419 MS Part A Provider - Rural Health Clinic 9739078460 1 other NPI on this enrollment
Practice locations: Corinth, MS

Rural health clinic certification: CCN 258690

Legal name
MAGNOLIA REGIONAL HEALTH CENTER
Doing business as
MAGNOLIA WOMEN'S CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 2, 2025
Last certification
Jul 2, 2025
Ownership / control type
Non-profit – church related
Organization structure
GovernmentNon-profit
Enrollment address
3714 Highway 72 W
Corinth, MS 38834-8556
Related CCNs
250009

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

Other NPIs with the same Medicare PAC ID 7

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Magnolia Hospital Ekg18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
James Hobson Individual Corporate OfficerCeo Nov 1, 2024 100%
W-2 Managing EmployeeCeo Nov 1, 2024 100%
Stephen R Thames Individual W-2 Managing EmployeeCfo Nov 1, 2024 100%
Brandon Reece Individual W-2 Managing EmployeeExecutive Director Physician Servic Nov 1, 2024 100%
Magnolia Regional Health Center Organization, Corinth, MS Non-profit 5% Or Greater Direct Ownership Interest Nov 1, 2024 100%
Operational/Managerial Control Nov 1, 2024 100%

Owners & managing parties with NPI records 7

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

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Magnolia Regional Health CenterCorinth, MS, CCN 250009 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jul 1, 1966
Jul 1, 1966
Magnolia Regional Health Center - Behavioral HealthCorinth, MS, CCN 25S009 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Oct 1, 1992
Oct 1, 1992
Magnolia Express CareCorinth, MS, CCN 258689 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Nov 1, 2024
Nov 1, 2024
Magnolia Pediatric ClinicCorinth, MS, CCN 258691 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Nov 1, 2024
Nov 1, 2024

Owned or controlled facilities with NPI records 5

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

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1356178149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ALCORN DR STE 2C",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349073",
            "telephone_number": "662-293-1553",
            "fax_number": "662-293-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3714 HIGHWAY 72 W",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388348556",
            "telephone_number": "662-293-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA REGIONAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "662-293-1288"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Women's Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Magnolia Women's Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corinth, MS

Sources for this page

Verify at the official NPI Registry.