AMITE COUNTY MEDICAL SERVICES, INC.
NPI 1073634226
Clinic/Center - Federally Qualified Health Center (FQHC) in Liberty, MS

Active since April 03, 2007CLIA 25D0320010 · Waiver
102 WEST FREEDOM DRIVE, LIBERTY, MS 39645(601) 657-4326(601) 657-8867 Get Directions Write a Review

NPPES record last updated: March 31, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amite County Medical Services, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMITE COUNTY MEDICAL SERVICES, INC. (NPI 1073634226) is a healthcare organization registered as a federally qualified health center (fqhc) in Liberty, Mississippi and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through April 16, 2027 and lists Pam T. Poole, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1073634226
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameAMITE COUNTY MEDICAL SERVICES, INC.
Location Address102 WEST FREEDOM DRIVELiberty, MS 39645-0511
Mailing AddressPo Box 511Liberty, MS 39645-0511 · (601) 657-4326 · Fax (601) 657-8867
Fax(601) 657-8867
Organization SubpartNo
Authorized OfficialPam T. PooleExecutive Director · (601) 657-4326
Enumeration DateApril 3, 2007
Last NPPES UpdateMarch 31, 2008
NPI 1073634226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
102 WEST FREEDOM DRIVE, Liberty, MS 39645

Other Identifiers 5

Medicaid09010048MS
Medicaid09013203MS
Medicare OSCAR/certification251826MS
Medicare PINC00310MS
Medicaid09015383MS

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D0320010

Amite County Medical Services, Inc · Liberty, MS
Active · expires Apr 16, 2027
CLIA Number25D0320010
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 17, 2025
Certificate Expiration DateApril 16, 2027
Laboratory DirectorDr. Rasheeda Hall
Laboratory Phone(601) 657-4326
Laboratory LocationAmite County Medical Services, Inc102 West Freedom Drive, Liberty, MS 39645
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
102 WEST FREEDOM DRIVE
LIBERTY, MS 39645
Dentist
102 WEST FREEDOM DRIVE
LIBERTY, MS 39645
Nurse Practitioner (Family)
102 WEST FREEDOM DRIVE
LIBERTY, MS 39645
Clinic/Center (Federally Qualified Health Center (FQHC))
102 WEST FREEDOM DRIVE
LIBERTY, MS 39645

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amite County Medical Services, Inc.'s NPI number?

The NPI number for Amite County Medical Services, Inc. is 1073634226. It was assigned to this organization in the NPPES registry on April 3, 2007.

Where is Amite County Medical Services, Inc. located?

Amite County Medical Services, Inc. is located at 102 West Freedom Drive, Liberty, MS 39645. The listed phone number is (601) 657-4326.

What is Amite County Medical Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Amite County Medical Services, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0320010) is associated with this NPI, valid through April 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Amite County Medical Services, Inc. accept?

Health plans from Molina Healthcare and UnitedHealthcare list Amite County Medical Services, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amite County Medical Services, Inc. was last updated on March 31, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.