MAIN STREET FAMILY CARE PLLC; NPI #1770012676

Contact Information

MAIN STREET FAMILY CARE PLLC

211 CHURCH ST
TIPTONVILLE, TN 38079-1109

Phone: 731-571-0569
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for MAIN STREET FAMILY CARE PLLC

NPI #	`1770012676`
LBN Legal business name	MAIN STREET FAMILY CARE PLLC
Authorized official	MISTY BARKER - (NP/OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/06/2017
Last updated	10/31/2019 - About 7 years ago
Identifiers	n/a

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.

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