INDIANOLA CLINIC, LLC

LELAND, MS
NPI1679673917
Doing Business AsLELAND MEDICAL CLINIC
Entity TypeOrganization
Authorized ContactAMY MCINTIRE
Credentialing
662-686-3956
Organization Subpart ?Yes
Primary Taxonomy261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)
Additional Taxonomies261QR1300X Clinic/Center, Rural Health
Enumeration Date2006-09-25
Last Update Date2024-09-17
Business Address
INDIANOLA CLINIC, LLC
201 BAKER BLVD
LELAND, MS 38756
Phone number: 662-686-4121
Mailing Address
INDIANOLA CLINIC, LLC
201 BAKER BLVD
LELAND, MS 38756
Phone number: 662-686-4121