Indianola Sleep Clinic, Llc
Indianola Sleep Clinic, Llc is a health care provider in Madison, MS. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 103 W Jackson St, Belzoni, MS 39038-3500, US |
|Practice Location Phone||662-887-3700|
|Practice Location Fax||888-519-3773|
|Legal Business Name||INDIANOLA SLEEP CLINIC, LLC|
|Other Organization Name||RURAL SLEEP DIAGNOSTICS|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ? ||Jul 30, 2006|
|Last Update Date ? ||Feb 15, 2013|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Indianola Sleep Clinic, Llc
|Specialty||Provider Type||Specialization||License||License State|
|Clinic/Center||Ambulatory Health Care Facilities||Sleep Disorder Diagnostic |
Legacy Provider IDs of Indianola Sleep Clinic, Llc
|Provider Id||Issuer State||Issuer Type||Issuer|
|20335479||Mississippi||Other||TRICARE PROVIDER ID|
Authorized Official of Indianola Sleep Clinic, Llc
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Indianola Sleep Clinic, Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official ||Mr. Brian K Herring|
|Authorized Official Title/Position||MEMBER|
|Authorized Official Phone Number||662-887-3700|