Main Street Health Associates, P.S.
Organization Active NPI Rural Health Clinic/Center · Brewster, WA
NPI 1821053208 · NPPES record last updated Dec 10, 2010
Key facts
- NPI
- 1821053208
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- License
- 601803678 (WA)
- Legal business name
- MAIN STREET HEALTH ASSOCIATES, P.S.
- Practice address
- 418 West Main Avenue
Brewster, WA 98812 - Phone
- (509) 689-8900
- Fax
- (509) 689-9031
- NPI assigned
- Apr 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Linda Niehaus, M.D.
- Title
- President
- Phone
- (509) 689-8900
Practitioners 3
-
Bradley Christopher Hagen, ARNP, FNP
-
Grace Rebecca Larsen, ARNP
-
Bethany Lynn, MD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 601803678 | WA | |
| Rural Health Clinic/Center | 261QR1300X | 601803678 | WA | Yes |
Addresses
Primary practice location
418 West Main Avenue
Brewster, WA 98812
Mailing address
PO Box 40
Brewster, WA 98812-0040
Phone (509) 689-8900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7086135 | Medicaid | WA |
Other providers in Brewster, WA
- Grace Rebecca Larsen
- Greg L Ledgerwood
- Angel Karen Lund
- Patrick Lynch
- Bethany Lynn
- Mark a Miller Physical Therapy LLC
- Maria E Martinez
- Janice Irene May
- MBB Brewster LLC
- Edith A McClosky
All providers in Brewster, WA · Rural Health Clinic/Center in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.