Indianola Clinic, Llc in Leland - Rural Health
Indianola Clinic, Llc - NPI 1679673917
Indianola Clinic, Llc is a Rural Health in Leland, Mississippi. Indianola Clinic, Llc practices all healthcare services and medical treatments related to Rural Health. The NPI Number for Indianola Clinic, Llc is 1679673917. The last update date is 2018-11-14.
Indianola Clinic, Llc's current location address is 201 Baker Blvd, Leland, Mississippi. You can contact this provider via phone number 6626864121 and fax number 6626864770. The mailing address for Indianola Clinic, Llc is 201 Baker Blvd, Leland, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Indianola Clinic, Llc |
|---|---|
| Address | 201 Baker Blvd, Leland, Mississippi |
| Phone Number | 6626864121 |
| Fax Number | 6626864770 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CREDENTIAL |
|---|---|
| Authorized Official Name | Mcintire Amy |
| Telephone Number | 6626863956 |
NPI Number Detail
| NPI Number | 1679673917 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2018-11-14 |
Provider Mailing Address Detail
| Address | 201 Baker Blvd |
|---|---|
| City | Leland |
| State | Mississippi (MS) |
| Post Code | 38756 |
| Phone Number | 6626864121 |
| Fax Number | 6626864770 |
Provider's Primary Taxonomy Detail
| Speciality | Rural Health |
|---|---|
| Taxonomy | 261Qr1300X |
|
Definition: Provides primary care and preventive health services in rural medically underserved areas. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9016086 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Indianola Clinic, Llc by the Centers for Medicare & Medicaid Services?
The Indianola Clinic, Llc has been assigned the NPI (National Provider Identifier) 1679673917. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Indianola Clinic, Llc's physical address?
The Indianola Clinic, Llc is physically located at 201 Baker Blvd, in the city of Leland, MS, with the postal code 38756.
What is the Indianola Clinic, Llc's specialty and taxonomy code?
The Indianola Clinic, Llc's specialty is Rural Health, and the corresponding taxonomy code is 261Qr1300X.
When did Indianola Clinic, Llc receive its 1679673917 assignment?
The Indianola Clinic, Llc was assigned its 1679673917 on 2006-09-25, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Indianola Clinic, Llc last refreshed?
The information related to the Indianola Clinic, Llc, including its address, specialty, and other relevant details, was last updated on 2018-11-14.