Indianola Clinic, LLC
NPI 1679673917 · Federally Qualified Health Center (FQHC) · Leland, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Indianola Clinic, LLC is a Federally Qualified Health Center (FQHC) organization in Leland, MS (NPI 1679673917).
Provider details
- NPI number
- 1679673917
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Indianola Clinic, LLC
- Organization subpart
- Yes
- Authorized official
- Amy Mcintire, Credentialing(662) 686-3956
Specialties & taxonomies
Ambulatory Health Care Facilities
- Rural Health Clinic/Center261QR1300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Leland Medical Clinic
- Doing business as
- Leland Medical Clinic
Registry dates
- Enumerated
- 2006-09-25
- Last updated
- 2024-09-17
- Certified
- 2024-09-17
Frequently asked questions
- What is Indianola Clinic, LLC's NPI number?
- Indianola Clinic, LLC's National Provider Identifier (NPI) is 1679673917, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Indianola Clinic, LLC?
- Indianola Clinic, LLC is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Indianola Clinic, LLC located?
- Indianola Clinic, LLC's practice location on file with NPPES is 201 Baker Blvd, Leland, MS 38756.
- What is Indianola Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Indianola Clinic, LLC is (662) 686-4121.
- Does Indianola Clinic, LLC accept Medicare?
- Indianola Clinic, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Indianola Clinic, LLC?
- The authorized official listed on Indianola Clinic, LLC's NPPES record is Amy Mcintire, Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Indianola Clinic, LLC's NPI active?
- Yes — Indianola Clinic, LLC's NPI (1679673917) is active in the NPPES registry as of the last update on 2024-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.