Home » Mississippi » 39038 » Indianola Sleep Clinic, Llc

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.

physician-icon Basic Information

Practice Location 103 W Jackson St, Belzoni, MS 39038-3500, US
Practice Location Phone662-887-3700
Practice Location Fax888-519-3773
Legal Business NameINDIANOLA SLEEP CLINIC, LLC
Other Organization NameRURAL SLEEP DIAGNOSTICS
Other Organization Name TypeDoing Business As Name
NPI ?1104831809
Entity TypeOrganization
Enumeration Date ? Jul 30, 2006
Last Update Date ? Feb 15, 2013
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Indianola Sleep Clinic, Llc

SpecialtySpecializationLicenseLicense State
Clinic/CenterSleep Disorder Diagnostic

legacy-id-icon Legacy Provider IDs of Indianola Sleep Clinic, Llc

Provider IdIssuer StateIssuer TypeIssuer
05073893MississippiMedicaid
20335479MississippiOtherTRICARE PROVIDER ID
470000068MississippiMedicare Id-type Unspecified
Y44459MississippiMedicare Upin

official-icon 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/PositionMEMBER
Authorized Official Phone Number662-887-3700