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110 E Baker St Suite B Indianola MS 38751-2451 | |
(662) 887-7339 | |
(662) 887-3920 |
Full Name | |
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Speciality | Clinic/Center |
Location | 110 E Baker St, Indianola, Mississippi |
Authorized Official Name and Position | Harold James Blessitt (ADMINISTRATOR) |
Authorized Official Contact | 6628875235 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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110 E Baker St Indianola MS 38751-2451 Ph: (662) 887-5235 | 110 E Baker St Suite B Indianola MS 38751-2451 Ph: (662) 887-7339 |
NPI Number | 1821420936 |
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Provider Enumeration Date | 07/31/2013 |
Last Update Date | 02/28/2020 |
Medicare PECOS PAC ID | 6709771637 |
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Medicare Enrollment ID | O20130920000166 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821420936 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
282N00000X | General Acute Care Hospital | 11-102 (Mississippi) | Secondary |
Delta Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 College Ave, Indianola, MS 38751 Phone: 662-884-1260 Fax: 662-741-2700 | |
Indianola Wellness Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 Main St, Indianola, MS 38751 Phone: 662-303-3743 | |