| Main Street Medical LLC | |
|
215 Main St Oshkosh NE 69154-6112 | |
| (308) 772-0164 | |
| Not Available |
| Full Name | Main Street Medical LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 215 Main St, Oshkosh, Nebraska |
| Authorized Official Name and Position | Laurie Lea Soper (NURSE PRACTITIONER) |
| 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 215 Main St Oshkosh NE 69154-6112 Ph: (308) 772-0164 | Main Street Medical LLC 215 Main St Oshkosh NE 69154-6112 Ph: (308) 772-0164 |
| NPI Number | 1831906908 |
|---|---|
| Provider Enumeration Date | 12/12/2024 |
| Last Update Date | 03/13/2026 |
| Certification Date | 03/13/2026 |
| Medicare PECOS PAC ID | 3779000153 |
|---|---|
| Medicare Enrollment ID | O20250508002686 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831906908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 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 Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare 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 |
Garden County Health Services Clinic 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 |