Provider Demographics
NPI:1114725090
Name:MAGNOLIA HEALTH SYSTEM
Entity type:Organization
Organization Name:MAGNOLIA HEALTH SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:CARRIGAN-ECHOLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:599-406-9838
Mailing Address - Street 1:1130 E SHAW AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-7838
Mailing Address - Country:US
Mailing Address - Phone:559-406-9838
Mailing Address - Fax:559-787-7861
Practice Address - Street 1:1130 E SHAW AVE STE 104
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-7838
Practice Address - Country:US
Practice Address - Phone:559-406-9838
Practice Address - Fax:559-787-7861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-05
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health