Organization
MAIN STREET HEALTH ASSOCIATES, P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA NIEHAUS M.D. (PRESIDENT)
(509) 689-8900
Entity
Organization
Contact information
Practice address
418 WEST MAIN AVENUE, BREWSTER, WA 98812
(509) 689-8900
(509) 689-9031
Mailing address
PO BOX 40, BREWSTER, WA 98812-0040
(509) 689-8900
(509) 689-9031
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
601803678
WA
261QR1300X
Rural Health Clinic/Center
Primary
601803678
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7086135
—
WA
Enumeration date
04/19/2006
Last updated
12/10/2010
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