| Main Street Family Clinic Llc | |
|
213 W Main St Canton OK 73724-1234 | |
| (405) 506-9101 | |
| (405) 936-0561 |
| Full Name | Main Street Family Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 213 W Main St, Canton, Oklahoma |
| Authorized Official Name and Position | Beth Holderby (OWNER) |
| Authorized Official Contact | 5805519131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Family Clinic Llc Po Box 57390 Oklahoma City OK 73157-7390 Ph: (405) 506-9101 | Main Street Family Clinic Llc 213 W Main St Canton OK 73724-1234 Ph: (405) 506-9101 |
| NPI Number | 1275326191 |
|---|---|
| Provider Enumeration Date | 05/23/2025 |
| Last Update Date | 07/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275326191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Great Salt Plains Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 310 E. Walnut Street, Canton, OK 73724 Phone: 580-596-2800 |