| NPI | 1346808607 |
|---|---|
| Doing Business As | MAIN STREET MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | THERESA RIZZO Administrator/CEO 308-425-6221 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-03 |