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Last updated September 2, 2008 Created and maintained by Karen Weido |
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Licensed Independent Practitioners (LIP) that would like to apply for clinical privileges at Magnolia Hospital should complete a pre-application and submit to the Credentialing Office. A pre-application can be downloaded here. When submitting a pre-application, all fields should be completed, and the pre-application should be signed.
Magnolia Hospital requires the following from all LIP with privileges at our facility: · Currently valid license issued by the State of Arkansas in your appropriate field · Currently valid DEA registration certificate · Graduation from an approved Medical School (appropriate to your field) · Completion of a residency program approved by the Accreditation Council for Graduate Medical Education (MD’s only) · Professional liability insurance with a licensed and approved carrier of $1,000,000/$3,000,000
All above information will be verified through the Arkansas Centralized Credentials Verification Services (for MD/DO/RT only)
In addition, applicants will be asked to submit a recent TB skin test (or negative chest x-ray), a list of professional peer references, and a recent photo.
Applicants should allow at least ninety (90) days for an application to be completely processed before privileges are granted.
Questions regarding the credentialing process, as well as applications for privileges, should be addressed to:
Karen Weido, Credentialing Coordinator PO Box 629 Magnolia AR 71754 (870) 235-3551 |
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