Main Street Family Medical, Llc

LBN: Main Street Family Medical, Llc
Main Street Family Medical, Llc is an health care organization with primary practice located at 701 W Broadway St , Spiro OK 74959-2456. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Main Street Family Medical, Llc can be contacted via phone (918) 962-8009, or through Davis, Elizabeth Trudy via phone (918) 448-7854.

Contact Information

Primary practice address
701 W Broadway St Spiro OK 74959-2456
Phone: (918) 962-8009
Fax: (918) 962-8027
Website:
Map and Directions
Authorized official contact:
Name: Davis, Elizabeth Trudy APRN-CNP
Phone: (918) 448-7854

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1952025249
LBN Legal business name Main Street Family Medical, Llc
DBA Doing business as
Authorized official Davis, Elizabeth Trudy APRN-CNP
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2022
Last updated Sep 7th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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