Magnolia Health Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

15693 Issued in AR

Legal business name

MAGNOLIA HEALTH CENTER

Practice address

205 W Main St
Magnolia, AR 71753-3518

Phone

(870) 234-8800

Fax

(870) 234-8801

NPI assigned

Mar 18, 2009

Last updated

Mar 18, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Raymond T Durham, D.C.NPI 1386647774

Title

Owner

Phone

(870) 234-8800

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Raymond T. Durham, D.C.

  • Radiology Chiropractor
  • Georgetown, TX
  • NPI 1386647774
  NPD (past) Authorized official

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1790926855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W MAIN ST",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717533518",
            "telephone_number": "870-234-8800",
            "fax_number": "870-234-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W MAIN ST",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717533518",
            "telephone_number": "870-234-8800",
            "fax_number": "870-234-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-234-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "15693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5605574",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1386647774",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie R. Linder, A.P.N.
• Emily Loftin, PTA
• Tolitha Anne Loyd, COTA
• Magnolia Anesthesia Associates Inc
• Magnolia Health and Rehab, LLC
• Magnolia Health Holdings LLC (Magnolia Health and Rehab)
• Magnolia Healthcare Center LLC
• Magnolia Healthcare Center LLC Group
• Magnolia Healthcare LLC
• Magnolia Pediatric Clinic, Inc.

• Chiropractor in Magnolia, AR
• Providers in Magnolia, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.