<unavail> in Indianola, MS - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Indianola, Mississippi. The current practice location for is 122 E Baker St, Indianola, Mississippi. For appointments, you can reach them via phone at (662) 887-2212. The mailing address for is 122 E Baker St, Indianola, Mississippi and phone number is (662) 887-2212.

is licensed to practice in Mississippi (license number ). The clinic also participates in the medicare program and its NPI number is 1245248699. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (662) 887-2212.

Contact Information


	122 E Baker St Indianola MS 38751-2451
	(662) 887-2212
	(662) 887-1279

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	122 E Baker St, Indianola, Mississippi
Authorized Official Name and Position	Jim Woods (CLINIC ADMINISTRATOR)
Authorized Official Contact	6628872212
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
122 E Baker St Indianola MS 38751-2451 Ph: (662) 887-2212	122 E Baker St Indianola MS 38751-2451 Ph: (662) 887-2212

NPI Details:

NPI Number	1245248699
Provider Enumeration Date	08/03/2006
Last Update Date	08/22/2020

Medicare PECOS Information:

Medicare PECOS PAC ID	6709771637
Medicare Enrollment ID	O20050808001033

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245248699	NPI	-	NPPES
09015873	Medicaid	MS
08904503	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QR1300X	Clinic/center - Rural Health	(Mississippi)	Primary

Reviews and Comments

Clinic/Center in Indianola, MS

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 E Baker St, Suite A, Indianola, MS 38751 Phone: 662-887-7081 Fax: 662-887-3920
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
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 E Baker St, Indianola, MS 38751 Phone: 662-887-2212 Fax: 662-887-1279
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 E Baker St, Indianola, MS 38751 Phone: 662-887-7339 Fax: 662-887-3920
Indianola Wellness Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 Main St, Indianola, MS 38751 Phone: 662-303-3743
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 612 Sunflower Avenue Ext, Suite 14, Indianola, MS 38751 Phone: 601-720-7605 Fax: 866-495-3240

- Medicare Primary Care in Indianola, MS