institution
Indianola Clinic, Llc
Rural Health Clinic/Center in Leland, Mississippi
NPI 1679673917

Indianola Clinic, Llc is a Rural Health Clinic/Center based in Leland, MS and is specialized in Rural Health. Indianola Clinic, Llc practices in Leland, MS. The NPI Number for Indianola Clinic, Llc is 1679673917 and holds a License No. (Mississippi).

The current practice location address for Indianola Clinic, Llc is 201 Baker Blvd, Leland, MS and can be reached out via phone at 662-686-4121 and via fax at 662-686-4770.

Location: 201 Baker Blvd, Leland, MS, 38756
institution
Provider Profile Details
NPI Number
1679673917
Provider Name
Indianola Clinic, Llc
Credential
Provider Entity Type
Organization
Address
201 Baker Blvd, Leland, MS, 38756
Phone Number
662-686-4121
Fax Number
662-686-4770
Provider Enumeration Date
09/25/2006
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200005767 05 MS
09016086 05 MS
institution
Provider Business Practice Location Address Details
Address
201 Baker Blvd
City
State
Zip
38756
Phone Number
662-686-4121
Fax Number
662-686-4770
person
Provider Business Mailing Address Details
Address
201 Baker Blvd
City
State
Zip
38756
Phone Number
662-686-4121
Fax Number
662-686-4770
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
(Mississippi)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
()
Definition
Definition to come...
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