# MAIN CLINIC PC

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

## Provider details

- **NPI number:** 1891823894
- **Authorized official:** TAMMIE HEATH (BILLING MANAGER)
- **Authorized official phone:** (405) 756-9513

## Contact information

- **Practice address:** 216 S MAIN, LINDSAY, OK 73052
- **Practice address phone:** (405) 756-9513
- **Practice address fax:** (405) 756-9517
- **Mailing address:** 216 S MAIN, LINDSAY, OK 73052
- **Mailing address phone:** (405) 756-9513
- **Mailing address fax:** (405) 756-9517

## Taxonomy

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

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 12/17/2007