| Main Street Family Medical, Inc. | |
|
500 W Main St Safford AZ 85546-2727 | |
| (192) 834-8710 | |
| (928) 348-7813 |
| Full Name | Main Street Family Medical, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 500 W Main St, Safford, Arizona |
| Authorized Official Name and Position | Tiffany A Scott (OWNER) |
| Authorized Official Contact | 9283487100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Family Medical, Inc. 500 W Main St Safford AZ 85546-2727 Ph: (192) 834-8710 | Main Street Family Medical, Inc. 500 W Main St Safford AZ 85546-2727 Ph: (192) 834-8710 |
| NPI Number | 1386837763 |
|---|---|
| Provider Enumeration Date | 08/20/2007 |
| Last Update Date | 08/20/2007 |
| Medicare PECOS PAC ID | 4880622745 |
|---|---|
| Medicare Enrollment ID | O20050801001167 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386837763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Arizona) | Primary |
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