| NPI | 1174570758 |
|---|---|
| Doing Business As | MAIN STREET MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | THERESA RIZZO Administrator/CEO 308-425-6221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2015-09-23 |