| Indianola Wellness Clinic, Llc | |
|
131 Main St Indianola MS 38751-2849 | |
| (662) 303-3743 | |
| Not Available |
| Full Name | Indianola Wellness Clinic, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 131 Main St, Indianola, Mississippi |
| Authorized Official Name and Position | Kajuandra K Chandler (MANAGER/OWNER) |
| Authorized Official Contact | 6623033743 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indianola Wellness Clinic, Llc 108 Whittington Dr Indianola MS 38751-3434 Ph: (662) 303-3743 | Indianola Wellness Clinic, Llc 131 Main St Indianola MS 38751-2849 Ph: (662) 303-3743 |
| NPI Number | 1508393000 |
|---|---|
| Provider Enumeration Date | 05/15/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508393000 | NPI | - | NPPES |
| 03321871 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 901379 (Mississippi) | Primary |
South Sunflower County Hospital 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 | |
South Sunflower County Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 122 E Baker St, Indianola, MS 38751 Phone: 662-887-2212 Fax: 662-887-1279 | |
South Sunflower County Hospital 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 | |
South Sunflower County Hospital 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 | |
American Psych Associates, Inc 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 |