PHC-Cleveland Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PHC-CLEVELAND INC

Doing business as

Magnolia Medical Clinic

Practice address

1 Hospital Drive
Cleveland, MS 38732-2425

Phone

(662) 721-1208

NPI assigned

Apr 17, 2008

Organization subpart

No

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

Authorized official

Name

Kathy Teague

Title

Vice President, Corporate Secretary

Phone

(629) 253-5121

Specialties & licenses 1

Addresses

Other names 1

• Magnolia Medical Clinic Doing business as

Member of 1

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

• PHC-Cleveland LLC

  dba Bolivar Medical Center

  • General Acute Care Hospital
  • Cleveland, MS
  • NPI 1457321036

  Member Of

  NPD member

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1851565170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DRIVE",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322425",
            "telephone_number": "662-721-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DRIVE",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322425",
            "telephone_number": "662-721-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHC-CLEVELAND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "VICE PRESIDENT, CORPORATE SECRETARY",
        "authorized_official_telephone_number": "629-253-5121"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Magnolia Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nora Pegues
• Peltan Eye Centers of Mississippi, LLC (Peltan Eye & Laser)
• Peltan Optical
• Harold Lee Peltan, M.D.
• Pharmedium Services LLC
• PHC-Cleveland Inc. (Bolivar Medical Center Long Term Care Facility)
• PHC-Cleveland LLC (Bolivar Medical Center)
• PHC-Cleveland LLC (Bolivar Medical Center)
• PHC-Cleveland LLC (Bolivar Medical Center)
• PHC-Cleveland, Inc. (Bolivar Medical Center Skilled Nursing Unit)

• Family Medicine Physician in Cleveland, MS
• Providers in Cleveland, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.