Main Street Medical Clinic

LBN: Main Street Medical Clinic
Main Street Medical Clinic is an health care organization with primary practice located at 107 E Main St , Grayson KY 41143-1301. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Main Street Medical Clinic can be contacted via phone (606) 474-0244, or through Holley, Stacy via phone (606) 474-0244.

Contact Information

Primary practice address
107 E Main St Grayson KY 41143-1301
Phone: (606) 474-0244
Fax: (606) 474-0412
Website:
Map and Directions
Authorized official contact:
Name: Holley, Stacy Advanced Practice Registered Nurse (APRN)
Phone: (606) 474-0244

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1952180408
LBN Legal business name Main Street Medical Clinic
DBA Doing business as
Authorized official Holley, Stacy Advanced Practice Registered Nurse (APRN)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2023
Last updated Sep 25th, 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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