Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAIN STREET MEDICAL CENTER, LLC
Active OrganizationMAIN STREET MEDICAL CENTER, LLC is a Family Nurse Practitioner organization located in RED RIVER, New Mexico. NPI 1225389919 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · RED RIVER, NM
Registration Details
- NPI Number
- 1225389919
- Provider Type
- Organization
- NPI Issued
- Sep 21, 2012 (13.897506265004 yrs)
- Last Updated
- Jul 15, 2025
- License
-
CNP-01822 (NM)
Practice Information
- Address
-
105 E MAIN STREETRED RIVER, NM, 875580010Browse NM providers · Browse ZIP 87558
- Phone
- 5757546330
- Fax
- 5757546232
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
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.