| Line Street Medical Clinic | |
|
562 Line St S Bldg A Philadelphia MS 39350-2144 | |
| (601) 389-8223 | |
| (833) 640-0468 |
| Full Name | Line Street Medical Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 562 Line St S Bldg A, Philadelphia, Mississippi |
| Authorized Official Name and Position | Sierra Cain (FNP-C/OWNER) |
| Authorized Official Contact | 6015626707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Line Street Medical Clinic 562 Line St S Bldg A Philadelphia MS 39350-2144 Ph: (601) 389-8223 | Line Street Medical Clinic 562 Line St S Bldg A Philadelphia MS 39350-2144 Ph: (601) 389-8223 |
| NPI Number | 1730811944 |
|---|---|
| Provider Enumeration Date | 06/27/2022 |
| Last Update Date | 06/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730811944 | NPI | - | NPPES |
| 01805219 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Neshoba Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 213 Hospital Rd W, Philadelphia, MS 39350 Phone: 601-663-1210 Fax: 601-663-1211 | |
Philadelphia School Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 Stribling St, Philadelphia, MS 39350 Phone: 601-656-2672 | |
Neshoba Urgent Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1003 Holland Ave, Suite 102, Philadelphia, MS 39350 Phone: 601-663-1423 Fax: 601-663-1474 | |
Mississippi Medical Arts Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 Center Ave N, Philadelphia, MS 39350 Phone: 601-656-5815 Fax: 601-656-8510 | |
Baptist Anderson Family Medical Center-airpark Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1056 Holland Ave, Philadelphia, MS 39350 Phone: 601-656-8545 Fax: 601-656-3985 | |
J. Todd Willis, Md Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1003 Holland Avenue, Suite 104, Philadelphia, MS 39350 Phone: 601-656-0010 Fax: 601-656-0313 | |
Bogue Chitto Satellite Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 Big Creek Cir, Philadelphia, MS 39350 Phone: 601-656-2211 Fax: 601-663-7721 |