NPIMap

Organization Active NPI

Magnolia Regional Health Center

Doing business as MRHC - Behavioral Health

  • Psychiatric Hospital Unit
  • Corinth, MS
National Provider Identifier
1568629046
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
MAGNOLIA REGIONAL HEALTH CENTER
Doing business as
MRHC - Behavioral Health
Practice address
611 Alcorn Dr
Corinth, MS 38834-9321
Phone
(662) 293-1000
Fax
(662) 293-4201
NPI assigned
May 21, 2008
Last updated
Sep 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Authorized official

Name
Mr. James Hobson
Title
Ceo
Phone
(662) 296-7661

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary
General Acute Care Hospital 282N00000X 11-248 MS

Addresses

Primary practice location

611 Alcorn Dr
Corinth, MS 38834-9321

Mailing address

611 Alcorn Dr
Corinth, MS 38834-9321
Phone (662) 293-1000

Other identifiers 1

IdentifierTypeStateIssuer
000440014MedicaidMS

Other names 1

  • MRHC - BEHAVIORAL HEALTH Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080616000199 MS Part A Provider - Hospital 9739078460 Practice locations: Corinth, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1568629046. Details of each certification follow.

Hospital certification: CCN 25S009

Legal name
MAGNOLIA REGIONAL HEALTH CENTER
Doing business as
MAGNOLIA REGIONAL HEALTH CENTER - BEHAVIORAL HEALTH
Organization structure
CorporationProprietary
Incorporated
Dec 15, 1965 in MS
Enrollment address
611 Alcorn Drive
Corinth, MS 38834-9321
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

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).

National Provider Directory

National Provider Directory
Tax ID family
Magnolia Regionl Health18 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

Ownership & related parties

All disclosed owners & managing parties 5

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 Feb 10, 2020
W-2 Managing EmployeeCeo Feb 10, 2020
Stephen R Thames Individual Corporate OfficerCfo Nov 1, 2023
W-2 Managing EmployeeCfo Nov 1, 2023
Brandon Reece Individual W-2 Managing EmployeeExecutive Director of Physician Ser Sep 22, 2022
Hannah Bascomb Individual W-2 Managing EmployeeDirector of Revenue Cycle Nov 1, 2023
Magnolia Regional Health Center Organization, Corinth, MS 5% Or Greater Direct Ownership Interest Oct 1, 1992
Operational/Managerial Control Oct 1, 1992

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 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 Women's ClinicCorinth, MS, CCN 258690 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1568629046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 ALCORN DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349321",
            "telephone_number": "662-293-1000",
            "fax_number": "662-293-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 ALCORN DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349321",
            "telephone_number": "662-293-1000",
            "fax_number": "662-293-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA REGIONAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "HOBSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-296-7661",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MS",
            "license": "11-248",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000440014",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MRHC - BEHAVIORAL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corinth, MS

Sources for this page

Verify at the official NPI Registry.