Main Street Medical Clinic

LBN: Mary Sue Suggs
Main Street Medical Clinic is an health care organization with primary practice located at 1508 Cogswell Ave , Pell City AL 35125-1243. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Mary Sue Suggs can be contacted via phone (205) 814-1598, or through Suggs, Mary Sue via phone (205) 814-1598.

Contact Information

Primary practice address
1508 Cogswell Ave Pell City AL 35125-1243
Phone: (205) 814-1598
Fax: (205) 814-1587
Website:
Map and Directions
Authorized official contact:
Name: Suggs, Mary Sue CRNP
Phone: (205) 814-1598

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1447246053
LBN Legal business name Mary Sue Suggs
DBA Doing business as Main Street Medical Clinic
Authorized official Suggs, Mary Sue CRNP
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2005
Last updated Jan 28th, 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 1447246053 NPPES
Alabama MEDICAID 541003917

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