Leland Medical Clinic

LBN: Indianola Clinic, Llc
Leland Medical Clinic is an health care organization with primary practice located at 201 Baker Blvd , Leland MS 38756-3401. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Indianola Clinic, Llc can be contacted via phone (662) 686-4121, or through Mccain, Emily A via phone (662) 686-3916.

Contact Information

Primary practice address
201 Baker Blvd Leland MS 38756-3401
Phone: (662) 686-4121
Fax: (662) 686-4770
Website:
Map and Directions
Authorized official contact:
Name: Mccain, Emily A
Phone: (662) 686-3916

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1942758131
LBN Legal business name Indianola Clinic, Llc
DBA Doing business as Leland Medical Clinic
Authorized official Mccain, Emily A
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2016
Last updated Feb 10th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942758131 NPPES
Mississippi MEDICAID 09016086

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