NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

MAIN STREET MEDICAL CLINIC, P.A.
722 N MAIN ST
BENTON, AR72015-3337
 Phone: 501-315-0059
 Fax: 501-315-1320
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MAIN STREET MEDICAL CLINIC, P.A.

NPI Number 1841298791
LBN Legal business name MAIN STREET MEDICAL CLINIC, P.A.
Authorized official SHERYL WILCHMAN - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/13/2005
Last updated 05/20/2021 - About 5 years ago
Identifiers
AR License # MC-2252
AR Medicaid 150521002
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

Reviews for MAIN STREET MEDICAL CLINIC, P.A.

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for MAIN STREET MEDICAL CLINIC, P.A.
Be the first to post a comment or review.


Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby Doctors & Physicians
ARKANSAS WELLNESS ASSOCIATES LLC
10700 N RODNEY PARHAM ROAD, SUITE C11
LITTLE ROCK, AR
BRIAN BEAN, MD
#2 ST VINCENT CIRCLE
LITTLE ROCK, AR
BEN D JOHNSON, MD
500 S UNIVERSITY
LITTLE ROCK, AR
DAVID R SOSNOFF, DO
9601 BAPTIST HEALTH DR STE 970
LITTLE ROCK, AR
VERONICA A PINTO MIRANDA, MD
4301 W MARKHAM ST
LITTLE ROCK, AR
DUSTIN E WILLIFORD, MD
1 CHILDRENS WAY # 512-8
LITTLE ROCK, AR
JOSHUA A DAILY, MD
1 CHILDRENS WAY # 512-3
LITTLE ROCK, AR
MARKUS S RENNO, MD, MPH
1 CHILDRENS WAY # 512-3
LITTLE ROCK, AR
BRITTNEY HARRIS
1 CHILDRENS WAY # 653
LITTLE ROCK, AR
SARAH K PASSARELLO, MD
#1 CHILDREN'S WAY, SLOT ACH 512-19A
LITTLE ROCK, AR

  View all Doctors & Physicians
v2.403