| NPI | 1467717306 |
|---|---|
| Doing Business As | MAIN STREET CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRIAN HAILE CEO 615-227-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2019-02-12 |