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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MAIN STREET MEDICAL LLC

Active Organization

MAIN STREET MEDICAL LLC is a Family Medicine organization located in BONNERS FERRY, Idaho. NPI 1134274103 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · BONNERS FERRY, ID

Registration Details

NPI Number
1134274103
Provider Type
Organization
NPI Issued
Jan 23, 2007 (19.552407385039 yrs)
Last Updated
Feb 22, 2008
License
M-7989 (ID)

Practice Information

Address
6641 KANIKSU ST
SUITE A
BONNERS FERRY, ID, 838057532
Browse ID providers · Browse ZIP 83805
Phone
2082653655
Fax
2082673757
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Organizations in BONNERS FERRY, ID

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.