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HEALTHTRUST MAGNOLIA, LLC
NPI 1144733361
Clinic/Center in Hattiesburg, MS

Active since November 09, 2017
203 S 40TH AVE STE B, HATTIESBURG, MS 39402(601) 606-6366 Get Directions Write a Review

NPPES record last updated: November 9, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Healthtrust Magnolia, Llc NPPES

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

HEALTHTRUST MAGNOLIA, LLC (NPI 1144733361) is a healthcare organization registered as a clinic/center in Hattiesburg, Mississippi and active in the NPI registry since November 2017. The organization lists Shelley H Gendusa, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1144733361
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameHEALTHTRUST MAGNOLIA, LLC
Location Address203 S 40TH AVE STE BHattiesburg, MS 39402-1604
Mailing AddressPo Box 17168Hattiesburg, MS 39404-7168
Phone(601) 606-6366
Organization SubpartNo
Authorized OfficialShelley H GendusaManaging Member · (601) 606-6366
Enumeration DateNovember 9, 2017
✔ NPI 1144733361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
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).
203 S 40TH AVE STE B, Hattiesburg, MS 39402
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healthtrust Magnolia, LLC's NPI number?

The NPI number for Healthtrust Magnolia, LLC is 1144733361. It was assigned to this organization in the NPPES registry on November 9, 2017.

Where is Healthtrust Magnolia, LLC located?

Healthtrust Magnolia, LLC is located at 203 S 40th Ave Ste B, Hattiesburg, MS 39402. The listed phone number is (601) 606-6366.

What is Healthtrust Magnolia, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Healthtrust Magnolia, LLC was last updated on November 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.