Main Street Medical LLC
Main Street Medical LLC provides Family Medicine Physician services in Bonners Ferry, Idaho. Licensed in Idaho. Registered with an NPI since 2007.
- Licensed in
- ID
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6641 Kaniksu St Ste ABonners Ferry, ID 83805-7532 Not confirmed with CMS for 18 years — call before visiting
Phone: (208) 265-3655
Fax: (208) 267-3757
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence M-7989 (ID) |
|---|
Record details
| NPI number | 1134274103 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Chuck Newhouse — Owner · (208) 265-3655 |
| NPI enumerated | January 23, 2007 |
| Last updated in NPPES | February 22, 2008 |
| Mailing address | Po Box 1640, Bonners Ferry, ID 83805-1640 |
Other providers in Bonners Ferry
-
H.h.h. Holdings PLLC
6291 Main St, Bonners Ferry, ID 83805-8518 · (208) 866-4557
-
Haley Halleman, PA-C
6291 Main St, Bonners Ferry, ID 83805-8518 · (208) 267-0134
-
MS. Rebecca D Kemp, PA-C
6488 Chinook St [email protected], Bonners Ferry, ID 83805-7515 · (208) 267-8710
-
Dr. Susan J Layeux, MD
6641 Kaniksu St Ste A, Bonners Ferry, ID 83805-7532 · (208) 267-3655
-
Dr. Edward Gregory Moellmer, MD
6640 Kaniksu St, Bonners Ferry, ID 83805-7532 · (208) 267-3141
-
Chuck Lee Newhouse, MD
6641 Kaniksu St, Bonners Ferry, ID 83805-7532 · (208) 267-3655
-
Dr. Ligeia A Reinhardt, MD
6615 Comanche St, Bonners Ferry, ID 83805-7523 · (208) 267-1718