Organization
MAIN STREET MEDICAL CLINIC LLC
Active
Organization
MAIN STREET MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY SUE SUGGS CRNP (OWNER)
(205) 814-1598
Entity
Organization
Contact information
Practice address
1508 COGSWELL AVE, PELL CITY, AL 35125-1243
(205) 814-1598
(205) 814-1587
Mailing address
1508 COGSWELL AVE, PELL CITY, AL 35125-1243
(205) 814-1598
(205) 814-1587
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
113466
AL
Other
Enumeration date
03/18/2011
Last updated
03/18/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up