NPIMap

Organization Active NPI

Magnolia Network

  • Contractor
  • Florence, SC
National Provider Identifier
1982844502
Registry record updated Feb 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
2960 Issued in SC
Legal business name
MAGNOLIA NETWORK
Practice address
804 Crandall Hall
Florence, SC 29501-1489
Phone
(843) 610-3795
Fax
(843) 669-5114
NPI assigned
Feb 22, 2009
Last updated
Feb 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2009

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

Authorized official

Name
Jamie OchenduszkoNPI 1982946059
Title
Occupational Therapist
Phone
(419) 410-6371

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 2960 SC Primary

Addresses

Primary practice location

804 Crandall Hall
Florence, SC 29501-1489

Mailing address

804 Crandall Hall
Florence, SC 29501-1489
Phone (843) 610-3795

National Provider Directory

National Provider Directory

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": "1235260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235260800000",
    "number": "1982844502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 CRANDALL HALL",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295011489",
            "telephone_number": "843-610-3795",
            "fax_number": "843-669-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 CRANDALL HALL",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295011489",
            "telephone_number": "843-610-3795",
            "fax_number": "843-669-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-22",
        "last_updated": "2009-02-22",
        "status": "A",
        "authorized_official_last_name": "OCHENDUSZKO",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "419-410-6371"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "SC",
            "license": "2960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.