Organization · Type 2 NPI
Main Street Clinic LLC
Clinic/Center · Manti, UT
NPI number
1750728176
Active
Practice location
46 N Main St
Manti, UT 84642-1254
Fax (435) 835-6004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 2158984405 (UT) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2 other providers at this address
About NPI 1750728176
Main Street Clinic LLC's National Provider Identifier is 1750728176, issued on May 24, 2013. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Manti, UT. The record was last updated on May 24, 2013.