Organization · Type 2 NPI

Indianola Clinic, LLC

Federally Qualified Health Center (FQHC) · Leland, MS

NPI number 1679673917 Active

Practice location

201 Baker Blvd
Leland, MS 38756-3401

Fax (662) 686-4770

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed
Rural Health Clinic/Center 261QR1300XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1679673917

Indianola Clinic, LLC's National Provider Identifier is 1679673917, issued on Sep 25, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Leland, MS. The record was last updated on Jul 8, 2026.