MAINSTREET FAMILY CARE LLC


Address: 1500 1st Ave N Unit 3, Birmingham, AL 35203-1866
Phone: 2055455085

MAINSTREET FAMILY CARE LLC (NPI# 1124675459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124675459
Entity Type Organization
Organization Name MAINSTREET FAMILY CARE LLC
Practice Address 1500 1st Ave N Unit 3
Birmingham
AL 35203-1866
Practice Telephone 2055455085
Mailing Telephone 2055455085
Enumeration Date 2019-08-21
Last Update Date 2019-08-21
Authorized Official Name DREW SMITH (DIRECTOR OF OPERATIONS)
Authorized Official Telephone 2055455085
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
MainStreet Family Care Doing Business As Name - Organization

Office Location

Street Address 1500 1ST AVE N UNIT 3
City BIRMINGHAM
State AL
Zip Code 35203-1866

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City BIRMINGHAM
Zip Code 35203

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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