| Main Street Medical Llc | |
|
310 Main St Oshkosh NE 69154-6112 | |
| (308) 772-0164 | |
| Not Available |
| Full Name | Main Street Medical Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 310 Main St, Oshkosh, Nebraska |
| Authorized Official Name and Position | Laurie Lea Soper (APRN-C) |
| Authorized Official Contact | 3082208082 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Medical Llc 310 Main St Oshkosh NE 69154-6112 Ph: (308) 772-0164 | Main Street Medical Llc 310 Main St Oshkosh NE 69154-6112 Ph: (308) 772-0164 |
| NPI Number | 1831906908 |
|---|---|
| Provider Enumeration Date | 12/12/2024 |
| Last Update Date | 04/29/2025 |
| Medicare PECOS PAC ID | 3779000153 |
|---|---|
| Medicare Enrollment ID | O20250508002686 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831906908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Steve C Boyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730104886 PECOS PAC ID: 7911087374 Enrollment ID: I20080110000428 |
| Provider Name | Laurie L Soper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558622548 PECOS PAC ID: 8628224722 Enrollment ID: I20120806000312 |
Regional West Garden County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 W 2nd St, Ste 100, Oshkosh, NE 69154 Phone: 308-772-3283 Fax: 308-772-3284 | |
Banner Health Physicians West Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 W 2nd St, Oshkosh, NE 69154 Phone: 308-772-3283 Fax: 308-772-1038 |