1679673917 INDIANOLA CLINIC, LLC
Federally Qualified Health Center (FQHC)
Active
Basic Information
- Organization Name
- INDIANOLA CLINIC, LLC
- Enumeration Date
- September 25, 2006
- Last Update
- September 17, 2024
- Authorized Official
- MRS. AMY MCINTIRE
CREDENTIALING
Phone: (662) 686-3956
Practice Location
- Address
- 201 BAKER BLVD
LELAND, MS 38756 - Phone
- (662) 686-4121
- Fax
- (662) 686-4770
Mailing Address
- Address
- 201 BAKER BLVD
LELAND, MS 38756 - Phone
- (662) 686-4121
- Fax
- (662) 686-4770
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Rural Health Clinic/Center Rural Health | 261QR1300X | Clinic/Center | N/A | MS | No |
| Federally Qualified Health Center (FQHC) Federally Qualified Health Center (FQHC) | 261QF0400X | Clinic/Center | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200005767 | 05 | MS | N/A |
| 09016086 | 05 | MS | N/A |
Frequently Asked Questions
What is INDIANOLA CLINIC, LLC's NPI number?
INDIANOLA CLINIC, LLC's NPI number is 1679673917.
Which doctor has NPI number 1679673917?
The doctor with NPI number 1679673917 is INDIANOLA CLINIC, LLC.
What is INDIANOLA CLINIC, LLC's practice address?
INDIANOLA CLINIC, LLC's practice address is 201 BAKER BLVD, LELAND, MS, 38756.
Which doctor practices at 201 BAKER BLVD, LELAND, MS, 38756?
INDIANOLA CLINIC, LLC practices at 201 BAKER BLVD, LELAND, MS, 38756.
What is INDIANOLA CLINIC, LLC's phone number?
INDIANOLA CLINIC, LLC's phone number is (662) 686-4121.
Who is (662) 686-4121?
(662) 686-4121 is the phone number for INDIANOLA CLINIC, LLC.
What is INDIANOLA CLINIC, LLC's specialty?
INDIANOLA CLINIC, LLC's specialty is Federally Qualified Health Center (FQHC).
What type of doctor is INDIANOLA CLINIC, LLC?
INDIANOLA CLINIC, LLC is a Federally Qualified Health Center (FQHC).
Is INDIANOLA CLINIC, LLC a Federally Qualified Health Center (FQHC)?
Yes, INDIANOLA CLINIC, LLC is a Federally Qualified Health Center (FQHC).
Is INDIANOLA CLINIC, LLC still practicing?
Yes, INDIANOLA CLINIC, LLC is currently practicing.
Is INDIANOLA CLINIC, LLC accepting new patients?
INDIANOLA CLINIC, LLC may be accepting new patients. Please call their office at (662) 686-4121 to inquire about availability.
Is NPI 1679673917 still active?
Yes, NPI 1679673917 is currently active.
Where does INDIANOLA CLINIC, LLC practice?
INDIANOLA CLINIC, LLC practices in LELAND, MS.