Main Street Medical Center is a health care provider in Red River, NM. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||421 Main Street, Red River, NM 87558-9998, US|
|Practice Location Phone||575-779-8015|
|Practice Location Fax|
|Legal Business Name||MAIN STREET MEDICAL CENTER|
|Enumeration Date ?||Sep 21, 2012|
|Last Update Date ?||Sep 21, 2012|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Clinic/Center||Ambulatory Health Care Facilities||Primary Care|
|Provider Id||Issuer State||Issuer Type||Issuer|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Main Street Medical Center's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Mrs. Jessica L Cross (FNP-BC)|
|Authorized Official Title/Position||OWNER|
|Authorized Official Phone Number||575-779-8015|