Main Street Medical Center

LBN: Main Street Medical Center
Main Street Medical Center is an health care organization with primary practice located at 369 N Main St , Crestview FL 32536-3541. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Main Street Medical Center can be contacted via phone (850) 398-6963, or through Kolmetz, Joshua K via phone (850) 398-6963.

Contact Information

Primary practice address
369 N Main St Crestview FL 32536-3541
Fax: (850) 398-8277
Website:
Authorized official contact:
Name: Kolmetz, Joshua K Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1790116762
LBN Legal business name Main Street Medical Center
DBA Doing business as
Authorized official Kolmetz, Joshua K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2013
Last updated Dec 2nd, 2013 - about 13 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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