NPI | 1154687309 |
---|---|
Doing Business As | MAIN STREET FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | JOSEPH M CAHILL CEO 541-451-7107 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Enumeration Date | 2012-04-02 |
Last Update Date | 2018-10-25 |