| Main Street Clinic Llc | |
|
46 N Main St Manti UT 84642-1254 | |
| (435) 835-6000 | |
| (435) 835-6004 |
| Full Name | Main Street Clinic Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 46 N Main St, Manti, Utah |
| Authorized Official Name and Position | Lauren Linn Miller (OWNER) |
| Authorized Official Contact | 4358356000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Clinic Llc 46 N Main St Manti UT 84642-1254 Ph: (435) 835-6000 | Main Street Clinic Llc 46 N Main St Manti UT 84642-1254 Ph: (435) 835-6000 |
| NPI Number | 1750728176 |
|---|---|
| Provider Enumeration Date | 05/24/2013 |
| Last Update Date | 05/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750728176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2158984405 (Utah) | Primary |
Gunnison Valley Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 156 S Main St, Manti, UT 84642 Phone: 435-835-7246 |