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. |
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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 |
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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 |
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Provider Enumeration Date | 08/20/2007 |
Last Update Date | 08/20/2007 |
Medicare PECOS PAC ID | 4880622745 |
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Medicare Enrollment ID | O20050801001167 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386837763 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (Arizona) | Primary |
Provider Name | Elizabeth E Kuhn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306062781 PECOS PAC ID: 1052408382 Enrollment ID: I20130304000038 |
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