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Main Street Medical Center

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.

physician-icon Basic Information

Practice Location 421 Main Street, Red River, NM 87558-9998, US
Practice Location Phone575-779-8015
Practice Location Fax
Legal Business NameMAIN STREET MEDICAL CENTER
NPI ?1225389919
Entity TypeOrganization
Enumeration Date ? Sep 21, 2012
Last Update Date ? Sep 21, 2012
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Main Street Medical Center

SpecialtySpecializationLicenseLicense State
Clinic/CenterPrimary Care

legacy-id-icon Legacy Provider IDs of Main Street Medical Center

Provider IdIssuer StateIssuer TypeIssuer
1326344854OtherNPI

official-icon Authorized Official of Main Street Medical Center

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/PositionOWNER
Authorized Official Phone Number575-779-8015