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Line Street Medical Clinic, LLC

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Company Details

Name: Line Street Medical Clinic, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 01 Feb 2022 (3 years ago)
Business ID: 1321897
State of Incorporation: MISSISSIPPI

Agent

Name Role Address
Sierra Cain Agent 562 Line Street South, Building A, Philadelphia, MS 39350

Member

Name Role Address
Sierra Cain Member 562 Line Street South, Building A, Philadelphia, MS 39350

National Provider Identifier

NPI Number:
1730811944
Certification Date:
2022-06-27

Authorized Person:

Name:
SIERRA CAIN
Role:
FNP-C/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8336400468

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2024-01-05 Action of Intent to Dissolve: AR: Line Street Medical Clinic, LLC
Notice to Dissolve/Revoke Filed 2023-09-08 Notice of Intent to Dissolve: AR: Line Street Medical Clinic, LLC
Correction Amendment Form Filed 2022-02-14 Correction For Line Street Medical Clinic, LLC
Formation Form Filed 2022-01-29 Formation For Line Street Medical Clinic, LLC

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Date of last update: 28 May 2025

Sources: Company Profile on Mississippi Secretary of State Website