EAST MS STATE HOSPITAL
NPI 1093038234
Clinic/Center in Meridian, MS

Q: What is Magnolia Clinic's NPI number?

The NPI number for Magnolia Clinic is 1093038234. It was assigned to this organization in the NPPES registry on March 2, 2010. The provider is doing business as East Ms State Hospital.

Q: What is Magnolia Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Magnolia Clinic was last updated on March 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 02, 2010

4555 HIGHLAND PARK DR, MERIDIAN, MS 39307(601) 481-1135(601) 581-7676 Get Directions Write a Review

NPPES record last updated: March 2, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About East Ms State Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST MS STATE HOSPITAL (NPI 1093038234) is a healthcare organization registered as a clinic/center in Meridian, Mississippi and active in the NPI registry since March 2010. The organization lists Charles Carlisle, Director, as its authorized official.

NPPES Registry Identity

NPI1093038234

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameMAGNOLIA CLINIC

Location Address4555 HIGHLAND PARK DRMeridian, MS 39307-5429

Mailing AddressP O Box 4128, West Station, 4555 Highland Park DriveMeridian,, MS 39304-4128 · (601) 481-1135 · Fax (601) 581-7676

Phone(601) 481-1135

Fax(601) 581-7676

Organization SubpartNo

Authorized OfficialCharles CarlisleDirector · (601) 581-7836

Enumeration DateMarch 2, 2010

✔ NPI 1093038234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in MS · 31 136

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

4555 HIGHLAND PARK DR, Meridian, MS 39307

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Other Names 1

Doing Business AsEast Ms State Hospital

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KIM ELLIOT NAGEL MD

Psychiatry & Neurology (Psychiatry)