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LINE STREET MEDICAL CLINIC
NPI 1730811944
Clinic/Center - Primary Care in Philadelphia, MS

Active since June 27, 2022
562 LINE ST S BLDG A, PHILADELPHIA, MS 39350(601) 389-8223(833) 640-0468 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Line Street Medical Clinic NPPES

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

LINE STREET MEDICAL CLINIC (NPI 1730811944) is a healthcare organization registered as a primary care in Philadelphia, Mississippi and active in the NPI registry since June 2022. The organization lists Sierra Cain, Fnp-c/owner, as its authorized official.

NPPES Registry Identity

NPI1730811944
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLINE STREET MEDICAL CLINIC
Location Address562 LINE ST S BLDG APhiladelphia, MS 39350-2144
Mailing Address562 Line St S Bldg APhiladelphia, MS 39350-2144 · (601) 389-8223 · Fax (833) 640-0468
Phone(601) 389-8223
Fax(833) 640-0468
Organization SubpartNo
Authorized OfficialSierra CainFnp-c/owner · (601) 562-6707
Enumeration DateJune 27, 2022
NPPES CertifiedJune 27, 2022
✔ NPI 1730811944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
562 LINE ST S BLDG A, Philadelphia, MS 39350
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Other Identifiers 1

Medicaid01805219MS

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 Line Street Medical Clinic's NPI number?

The NPI number for Line Street Medical Clinic is 1730811944. It was assigned to this organization in the NPPES registry on June 27, 2022.

Where is Line Street Medical Clinic located?

Line Street Medical Clinic is located at 562 Line St S Bldg A, Philadelphia, MS 39350. The listed phone number is (601) 389-8223.

What is Line Street Medical Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Line Street Medical Clinic was last updated on June 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.