NPI | 1679673917 |
---|---|
Doing Business As | LELAND MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | AMY MCINTIRE Credentialing 662-686-3956 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
Enumeration Date | 2006-09-25 |
Last Update Date | 2024-09-17 |