LELAND MEDICAL CLINIC
NPI 1164964565
Clinic/Center - Mental Health (Including Community Mental Health Center) in Leland, MS
NPI Status: Active since November 16, 2016
Contact Information
201 BAKER BLVD
LELAND, MS
ZIP 38756
Phone: (662) 686-4121
Fax: (662) 686-4770
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
About LELAND MEDICAL CLINIC
This page provides the complete NPI Profile along with additional information for Leland Medical Clinic, a provider established in Leland, Mississippi operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1164964565 assigned on November 2016. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Leland Medical Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Leland Medical Clinic. The authorized official of this NPI record is Mr. Henry Marlin Womack Jr. (Vp Of Administration)
- NPI
- 1164964565
- Provider Legal Name
- INDIANOLA CLINIC, LLC
- Other Organization Name
- LELAND MEDICAL CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 201 BAKER BLVD LELAND, MS 38756
- Location Phone
- (662) 686-4121
- Location Fax
- (662) 686-4770
- Mailing Address
- 201 BAKER BLVD LELAND, MS 38756
- Mailing Phone
- (662) 686-4121
- Mailing Fax
- (662) 686-4770
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-16-2016
- Last Update Date
- 05-18-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 104100000X | Behavioral Health & Social Service Providers | Social Worker |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 09889724 | MEDICAID (05) | MS |
Reviews for LELAND MEDICAL CLINIC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 6 | 4 | 9 | 6 | 4 | 5 | 6 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 18 | 6 | 8 | 5 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 1 + 8 + 6 + 8 + 5 + 1 + 2 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1164964565 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1205237849 | DELTA HEALTH ALLIANCE Organization | Clinic/Center | 201 BAKER BLVD LELAND, MS 38756 (662) 686-4121 |
| 1942758131 | INDIANOLA CLINIC, LLC Organization | Clinic/Center (Multi-Specialty) | 201 BAKER BLVD LELAND, MS 38756 (662) 686-4121 |
| 1669903001 | AMANDA LEIGH SUELL OT Individual | Occupational Therapist | 201 BAKER BLVD LELAND, MS 38756 (662) 686-4121 |
| 1982127445 | LAUREN AUSTIN PTA Individual | Physical Therapy Assistant | 201 BAKER BLVD LELAND, MS 38756 (662) 686-4121 |
| 1639387269 | MRS. RUTH C BAKER-FORBES OTR/L Individual | Occupational Therapist | 201 BAKER BLVD LELAND, MS 38756 (662) 686-4121 |
| 1326550468 | SHEENA BROWN LPC Individual | Counselor (Professional) | 201 BAKER BLVD LELAND, MS 38756 (662) 686-4121 |
| 1710499447 | MARY CATHERINE RUSCOE CCC-SLP Individual | Speech-Language Pathologist | 201 BAKER BLVD LELAND, MS 38756 (662) 686-4121 |
| 1669611745 | MS. LAUREN MICHELLE ADAMS DPT Individual | Physical Therapist | 201 BAKER BLVD LELAND, MS 38756 (662) 686-4121 |
| 1174036792 | CARRIE WHITT CCC-SLP Individual | Speech-Language Pathologist | 201 BAKER BLVD LELAND, MS 38756 (662) 686-4121 |
| 1235410051 | LEERIN D SIMPSON TRIPLETT SLP Individual | Speech-Language Pathologist | 201 BAKER BLVD LELAND, MS 38756 (662) 686-4121 |
| 1962940908 | INDIANOLA CLINIC, LLC Organization | Clinic/Center (Multi-Specialty) | 201 BAKER BLVD LELAND, MS 38756 (662) 686-4121 |
| 1366942971 | NICOLE BRADLEY ANDREWS SLP Individual | Speech-Language Pathologist | 201 BAKER BLVD LELAND, MS 38756 (662) 686-4121 |
| 1336490713 | LACIE A BRACKEEN CFNP Individual | Nurse Practitioner (Family) | 201 BAKER BLVD LELAND, MS 38756 (662) 686-4121 |
| 1790961464 | MRS. MICHELLE B CLEM LPC Individual | Counselor (Mental Health) | 201 BAKER BLVD LELAND, MS 38756 (662) 686-4121 |
| 1427565886 | MRS. ABBIE SIGHTLER ROBINSON M.ED. Individual | Counselor (Mental Health) | 201 BAKER BLVD LELAND, MS 38756 (662) 686-4121 |
| 1134164916 | HEATHER LLOYD CFNP Individual | Nurse Practitioner (Family) | 201 BAKER BLVD LELAND, MS 38756 (662) 686-4121 |
| 1962043281 | ROBDREKA SHAW LPC Individual | Counselor (Mental Health) | 201 BAKER BLVD LELAND, MS 38756 (662) 686-4121 |
| 1316277791 | FELICIA R WALKER SLP Individual | Speech-Language Pathologist | 201 BAKER BLVD LELAND, MS 38756 (662) 686-4121 |
| 1326561895 | NASH BURNSIDE COTA Individual | Occupational Therapy Assistant | 201 BAKER BLVD LELAND, MS 38756 (662) 686-4121 |
| 1902906258 | INDIANOLA CLINIC, LLC Organization | Clinic/Center (Rural Health) | 201 BAKER BLVD LELAND, MS 38756 (662) 686-4121 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164964565, enumerated in the NPI registry as an "organization" on November 16, 2016
The provider is located at 201 Baker Blvd Leland, Ms 38756 and the phone number is (662) 686-4121
This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on November 16, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.