Main Street Health Associates, P.S.

LBN: Main Street Health Associates, P.S.
Main Street Health Associates, P.S. is an health care organization with primary practice located at 418 West Main Avenue , Brewster WA 98812. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Main Street Health Associates, P.S. can be contacted via phone (509) 689-8900, or through Niehaus, Linda via phone (509) 689-8900.

Contact Information

Primary practice address
418 West Main Avenue Brewster WA 98812
Fax: (509) 689-9031
Website:
Authorized official contact:
Name: Niehaus, Linda Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 601803678 Washington
Ambulatory Health Care Facilities / Rural Health 261QR1300X 601803678 Washington

Profile Details

NPI number 1821053208
LBN Legal business name Main Street Health Associates, P.S.
DBA Doing business as
Authorized official Niehaus, Linda Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2006
Last updated Dec 10th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821053208 NPPES
Washington MEDICAID 7086135

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