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 6 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty.
Indianola Clinic, Llc can be contacted via phone (662) 686-4121, or through Mcintire, Amy via phone (662) 686-3956.
Contact Information
Primary practice address
201 Baker Blvd
Leland MS 38756-3401
Phone: (662) 686-4121
Fax: (662) 686-4770
Website:
Health care specialties
Profile Details
| NPI number | 1962940908 |
|---|---|
| LBN Legal business name | Indianola Clinic, Llc |
| DBA Doing business as | Leland Medical Clinic |
| Authorized official | Mcintire, Amy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 10th, 2017 |
| Last updated | Nov 14th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962940908 | NPPES |
| Mississippi | MEDICAID | 00459821 |
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