NPI 1386251908

Magnolia Health Plan, INC.

Organisation Health Maintenance Organization Ridgeland, MS

Practice location

Address: 1020 Highland Colony Pkwy, Ridgeland, MS 39157-2137
Phone: (877) 687-1187
Mailing address: 7700 Forsyth Blvd, Saint Louis, MO 63105-1813

Authorised official

Name: Kenneth Koshorek
Title: Vp, Associate General Counsel
Phone: (313) 720-5567

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1386251908
Entity type: Organization
NPI issued: 28 Sep 2020
Record last updated: 14 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.