Healthcare Provider Details

I. General information

NPI: 1952922981
Provider Name (Legal Business Name): MAGNOLIA REGIONAL HEALTH SYSTEM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2020
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 HOSPITAL DR
MAGNOLIA AR
71753-2415
US

IV. Provider business mailing address

PO BOX 629
MAGNOLIA AR
71754-0629
US

V. Phone/Fax

Practice location:
  • Phone: 870-235-3000
  • Fax:
Mailing address:
  • Phone: 870-235-3212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM D GILES
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 870-235-3208