Main Street Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

10584 Issued in MT

Legal business name

MAIN STREET CLINIC

Practice address

11 W Main St
Suite 225
Belgrade, MT 59714-3700

Phone

(406) 388-6151

NPI assigned

Dec 16, 2008

Last updated

Dec 16, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marc Charles Mentel, D.O.

Title

Physician/Owner

Phone

(406) 570-1639

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1427294792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 W MAIN ST",
            "address_2": "SUITE 225",
            "city": "BELGRADE",
            "state": "MT",
            "postal_code": "597143700",
            "telephone_number": "406-388-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W MAIN ST",
            "address_2": "SUITE 225",
            "city": "BELGRADE",
            "state": "MT",
            "postal_code": "597143700",
            "telephone_number": "406-388-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-16",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "MENTEL",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "406-570-1639",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MT",
            "license": "10584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joelle Louli
• Timothy Ronald Lund, D.D.S.
• Ashlyn Martin
• Elizabeth Matthews, NP
• Shey Leigh Mayland, M.S.
• Laura J McBain, OT
• Gwendolyn G. McCall, MD

• Primary Care Clinic/Center in Belgrade, MT
• Providers in Belgrade, MT by specialty
• Primary Care Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.