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310 Highway 82 W Suite A Indianola MS 38751-2150 | |
(662) 417-4698 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 310 Highway 82 W, Indianola, Mississippi |
Authorized Official Name and Position | Ray Shoemaker (CEO) |
Authorized Official Contact | 6623211155 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 510 Belzoni MS 39038-0510 Ph: (662) 247-3831 | 310 Highway 82 W Suite A Indianola MS 38751-2150 Ph: (662) 417-4698 |
NPI Number | 1649429135 |
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Provider Enumeration Date | 09/09/2008 |
Last Update Date | 09/09/2008 |
Identifier | Type | State | Issuer |
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1649429135 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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 | |