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NPI · 1710179395 · NPPES-sourced

Magnolia Grove Healthcare

ActivePrimary Care Clinic
NPI Number
1710179395
Type 2 · Organisation
Taxonomy Code
261QP2300X
Contact
(228) 863-4000
License MS · 12792
Last Updated
Enumerated
Primary practice addressMS · 39501-2525
4333 15th St Ste AGulfport, MS 39501-2525
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About this NPIWhat this record shows.

NPI 1710179395 is registered to Magnolia Grove Healthcare, a healthcare organisation classified as "Primary Care Clinic" and located at 4333 15th St Ste A in Gulfport, Mississippi. The organisation's authorised official is Tracey Decena. The organisation has been enumerated in the NPI registry since 2007.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Magnolia Grove Healthcare accepts. To confirm in-network status with your specific health plan, contact Magnolia Grove Healthcare directly at (228) 863-4000.

Frequently asked

Yes. NPI 1710179395 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Primary Care Clinic is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (228) 863-4000.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Magnolia Grove Healthcare is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy261QP2300X
Last updated
Enumerated
StatusActive
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