- Primary Care in State Line, MS

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is a primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in State Line, Mississippi. The current practice location for is 82 Church Street, State Line, Mississippi. For appointments, you can reach them via phone at (601) 848-7650. The mailing address for is P O Box 160, Leakesville, Mississippi and phone number is () -.

is licensed to practice in Mississippi (license number ) and its NPI number is 1902031123. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (601) 848-7650.

Contact Information

82 Church Street
State Line
MS 39451
(601) 848-7650
Not Available

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/center - Federally Qualified Health Center (fqhc)
Location82 Church Street, State Line, Mississippi
Authorized Official Name and PositionJoe Dawsey (EXECUTIVE DIRECTOR)
Authorized Official Contact6013942381
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

P O Box 160
Leakesville
MS 39451-0160

Ph: () -
82 Church Street
State Line
MS 39451

Ph: (601) 848-7650

NPI Details:

NPI Number1902031123
Provider Enumeration Date05/18/2009
Last Update Date05/18/2009

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902031123NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (Mississippi)Primary

Reviews and Comments


Clinic/Center in State Line, MS


Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 256 Main St, State Line, MS 39362
Phone: 601-848-7912    Fax: 601-848-7461

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.