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Indianola Clinic, Llc

Clinic/Center - Mental Health (Including Community Mental Health Center)

HENRY WOMACK
NPI: 1164964565Leland, Mississippi, 38756(662) 686-4121

About Indianola Clinic, Llc

Indianola Clinic, Llc is a healthcare organization providing Clinic/Center - Mental Health (Including Community Mental Health Center) services, with specialized expertise in Mental Health (Including Community Mental Health Center), registered under National Provider Identifier (NPI) number 1164964565.

The authorized official for Indianola Clinic, Llc is HENRY WOMACK. The organization is headquartered at 201 BAKER BLVD, Leland, Mississippi 38756. The main office can be reached at (662) 686-4121. Indianola Clinic, Llc has been NPI-registered since 2016.

Locations & Contact

Primary Location

Address
201 BAKER BLVD
City
Leland
State
Mississippi
ZIP
38756-3401
Phone
(662) 686-4121
Fax
(662) 686-4770
View on Google Maps

Authorized Official

Name
HENRY WOMACK

Mailing Address

Address
201 BAKER BLVD
City
LELAND
State
MS
ZIP
387563401

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Classification
Clinic/Center
Specialization
Mental Health (Including Community Mental Health Center)
Taxonomy Code
261QM0801X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Indianola Clinic, Llc's NPI number?
Indianola Clinic, Llc's National Provider Identifier (NPI) is 1164964565. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Indianola Clinic, Llc specialize in?
Indianola Clinic, Llc specializes in Clinic/Center - Mental Health (Including Community Mental Health Center).
Where is Indianola Clinic, Llc located?
Indianola Clinic, Llc practices at 201 BAKER BLVD, Leland, Mississippi 38756. You can reach them by phone at (662) 686-4121.
Does Indianola Clinic, Llc accept Medicare?
Based on available data, Indianola Clinic, Llc is not currently enrolled in the Medicare program.
Does Indianola Clinic, Llc offer telehealth or virtual visits?
Indianola Clinic, Llc does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Indianola Clinic, Llc holds NPI 1164964565, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.