# MAIN STREET MEDICAL LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831906908
- **Authorized official:** LAURIE LEA SOPER (NURSE PRACTITIONER)
- **Authorized official phone:** (308) 220-8082

## Contact information

- **Practice address:** 215 MAIN ST, OSHKOSH, NE 69154-6112
- **Practice address phone:** (308) 772-0164
- **Mailing address:** 215 MAIN ST, OSHKOSH, NE 69154-6112
- **Mailing address phone:** (308) 772-0164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/12/2024
- **Last updated:** 03/13/2026