Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Line Street Medical Clinic

Organization Primary Care Clinic/Center · NPI 1730811944

Line Street Medical Clinic is a Primary Care Clinic/Center in Philadelphia, Mississippi. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

562 Line St S Bldg A
Philadelphia, MS 39350-2144
Phone: (601) 389-8223
Fax: (833) 640-0468
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1730811944
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sierra Cain — Fnp-C/Owner · (601) 562-6707
NPI enumeratedJune 27, 2022
Last updated in NPPESJune 27, 2022
Certification dateJune 27, 2022
Mailing address562 Line St S Bldg A, Philadelphia, MS 39350-2144