NPIMap

Organization Active NPI

Magnolia Regional Health System Inc

Doing business as Magnolia Regional Medical Center

  • Critical Access Hospital
  • Magnolia, AR
National Provider Identifier
1700407541
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
MAGNOLIA REGIONAL HEALTH SYSTEM INC
Doing business as
Magnolia Regional Medical Center
Practice address
101 Hospital Dr
Magnolia, AR 71753-2415
Phone
(870) 235-3000
NPI assigned
May 4, 2020
Last updated
Jan 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Authorized official

Name
Mr. William D Giles
Title
Chief Executive Officer
Phone
(870) 235-3208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X NU Primary

Addresses

Primary practice location

101 Hospital Dr
Magnolia, AR 71753-2415

Mailing address

PO Box 629
Magnolia, AR 71754-0629
Phone (870) 235-3209

Other names 1

  • Magnolia Regional Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20200902000939 AR Part A Provider - Hospital 2668899899 Practice locations: Magnolia, AR
O20200924002030 AR Part B Supplier - Clinic/Group Practice 2668899899 Receives reassigned benefits from 7 practitioners
5 other NPIs on this enrollment
Practice locations: Magnolia, AR
O20250326003692 AR Part A Provider - Critical Access Hospital 2668899899 Practice locations: Magnolia, AR

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1700407541. Details of each certification follow.

Hospital certification: CCN 040067

Legal name
MAGNOLIA REGIONAL HEALTH SYSTEM INC
Doing business as
MAGNOLIA REGIONAL MEDICAL CENTER
Certification status
Terminated Other: provider status change, Nov 24, 2025
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jun 27, 2019
Beds
70
Ownership / control type
Local
Most recent change of ownership
Oct 1, 2020 (2 total)
Organization structure
CorporationNon-profit
Incorporated
Feb 28, 2020 in AR
Enrollment address
101 Hospital Dr
Magnolia, AR 71753-2415
Main/Primary Hospital Location
Hospital subgroups
Acute care

Hospital certification: CCN 041336

Legal name
MAGNOLIA REGIONAL HEALTH SYSTEM INC
Doing business as
MAGNOLIA REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Nov 25, 2025
Last certification
May 21, 2025
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
101 Hospital Dr
Magnolia, AR 71753-2415
Main/Primary Hospital Location

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

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory
Tax ID family
Magnolia Regional HLTH Syst5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Member of 1

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

Locations

103 Hospital Dr
Magnolia, AR 71753
Phone (870) 235-3598

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Walter Wood Individual Corporate Director Oct 1, 2020
WD Giles Individual Corporate DirectorChief Executive Officer Jul 14, 2025
Corporate OfficerChief Executive Officer Jun 1, 2025
Corporate DirectorChief Executive Officer Jun 1, 2025
Jonathan Baird Individual Corporate Director Oct 1, 2020
Corporate Director Jan 1, 2017
Karen Weido Individual W-2 Managing Employee Oct 1, 2020
W-2 Managing EmployeeMedical Staff Coordinator Jun 26, 2006
Jeffery B Whitener Individual Corporate Director Mar 1, 2023
Todd Emmert Individual Corporate Director Oct 1, 2020
Corporate Director Jan 1, 2018
John E Alexander Individual Corporate Director Oct 1, 2020
Corporate DirectorBoard Chairman Jan 1, 2014
Angie Eaves Individual Corporate Director Oct 1, 2020
Corporate DirectorBoard Vice Chairman Feb 1, 2016
Magnolia Regional Health System Inc Organization, Magnolia, AR Created for acquisition, Non-profit 5% Or Greater Direct Ownership Interest Oct 1, 2020 100%
Stephanie Schmittou Individual Corporate OfficerChief Operating Officer Jun 1, 2025
Corporate DirectorChief Operating Officer Jun 1, 2025

Owners & managing parties with NPI records 5

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Magnolia Regional Health System IncMagnolia, AR, CCN 048519 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2020

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 7

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.

Affiliated clinicians 79

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 79

NPI Registry JSON

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1700407541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 629",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717540629",
            "telephone_number": "870-235-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL DR",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717532415",
            "telephone_number": "870-235-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA REGIONAL HEALTH SYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-04",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "GILES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "870-235-3208",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Magnolia Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Magnolia, AR

Sources for this page

Verify at the official NPI Registry.