MAIN STREET CLINIC, LLC (NPI# 1356903827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356903827 |
| Entity Type | Organization |
| Organization Name | MAIN STREET CLINIC, LLC |
| Practice Address |
107 West 4th St Winona MN 55987 |
| Mailing Address |
855 Mankato Ave Winona MN 55987-4868 |
| Practice Telephone | 5074543650 |
| Mailing Telephone | 5074543650 |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2019-07-03 |
| Authorized Official Name | RACHELLE HEISING SCHULTZ (PRESIDENT/CEO) |
| Authorized Official Telephone | 5074543650 |
| Authorized Official Credential | ED.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895291 | Main Street Clinic, LLC | Pediatrics | 1508 Cogswell Ave, Pell City, AL 35125-1243 | 2020-09-11 |
| 1477930246 | Main Street Clinic, LLC | Nurse Practitioner | 900 E Main St, Cumberland, KY 40823-1714 | 2015-04-30 |
| 1396022034 | Main Street Clinic, LLC | Clinic/Center | 115 Main St, Columbia, LA 71418 | 2011-11-09 |
| Street Address |
107 WEST 4TH ST |
| City | WINONA |
| State | MN |
| Zip Code | 55987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891277232 | Jamie Sanders | Social Worker | 51 East 4th St Suite 307, Winona, MN 55987 | 2018-09-01 |
| 1841727823 | Stacey A Czaplewski | Specialist/Technologist | 175 West Mark Street, Winona State University-139 Memorial Hall, Winona, MN 55987 | 2017-05-22 |
| 1083145361 | Kevin Lee Knack | Counselor | 902 E. Second St. Suite 326, Acumen Counseling, Winona, MN 55987 | 2017-03-27 |
| 1467993865 | Melissa Lee Peterson | Specialist/Technologist | 23559 Co. Rd. 20, Winona, MN 55987 | 2017-03-17 |
| 1790226280 | Nikolas Porter Lyon | Specialist/Technologist | 634 Franklin St, East Lake B 306-4, Winona, MN 55987 | 2017-03-16 |
| 1821424953 | Sara Beth Borchardt | Chiropractor | 1423 West Service Drive, Winona, MN 55987 | 2013-09-20 |
| 1952614273 | Kristin Janelle Noble | Chiropractor | 117 W. 3rd St., Winona, MN 55987 | 2010-07-15 |
| 1033435615 | Christine E. Clark | Pharmacist | 1122 Hwy 61, Winona, MN 55987 | 2010-04-08 |
| 1346401544 | Andrew Dean Mork | Dentist | 50 W Second Street, Winona, MN 55987 | 2008-06-19 |
| 1508073693 | Lawrence J Green | Psychologist | 61 W 4th St, Winona, MN 55987 | 2007-05-17 |
| Find all providers in zip 55987 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841806767 | Allina Health System | Clinic/Center | 4166 Lexington Ave N, Shoreview, MN 55126-6106 | 2020-09-16 |
| 1316553332 | Allina Health System | Clinic/Center | 7373 France Ave S Ste 208, Edina, MN 55435-4598 | 2020-09-16 |
| 1114533031 | Allina Health System | Clinic/Center | 755 Crossroads Campus Dr Ne Ste 100, Buffalo, MN 55313-5074 | 2020-09-16 |
| 1609481779 | Allina Health System | Clinic/Center | 5565 Blaine Ave Ste 100, Inver Grove Heights, MN 55076-1239 | 2020-09-15 |
| 1306464953 | Allied Operation Support LLC | Clinic/Center | 2136 Ford Pkwy # 5195, Saint Paul, MN 55116-1863 | 2020-07-10 |
| 1902459209 | The Duluth Clinic Ltd | Clinic/Center | 1301 Miller Trunk Hwy Ste 400, Duluth, MN 55811-5639 | 2019-07-17 |
| 1780162552 | Presence Telehealth Pllc | Clinic/Center | 1232 S Oak Ave, Owatonna, MN 55060-3925 | 2018-08-02 |
| 1033641337 | Md Online Care P.C. | Clinic/Center | 7964 Brooklyn Blvd., Suite 140, Brooklyn Park, MN 55445-2391 | 2017-03-28 |
| 1447605514 | St. Francis Regional Medical Center | Clinic/Center | 8170 Old Carriage Ct Ste 100, Shakopee, MN 55379-3164 | 2016-04-26 |
| 1942674452 | New Horizon Urgent Care and Clinic LLC | Clinic/Center | 7809 Southtown Ctr, Suite 343, Bloomington, MN 55431-1324 | 2015-11-20 |
| Find all providers with the same taxonomy | ||||
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| 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.