Organization Active NPI

Rural Urgent Care LLC

Doing business as MainStreet Family Care

  • Rural Health Clinic/Center
  • Centre, AL
National Provider Identifier
1851187686
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
RURAL URGENT CARE LLC
Doing business as
MainStreet Family Care
Practice address
1925 W Main St
Centre, AL 35960-2835
Phone
(256) 677-4552
NPI assigned
Apr 17, 2025
Last updated
Mar 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Krista Rock
Title
VP
Phone
(205) 545-5090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1925 W Main St
Centre, AL 35960-2835

Mailing address

1500 1St Ave N Unit 3
Birmingham, AL 35203-1866
Phone (205) 545-5085

Other names 1

  • MainStreet Family Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250716001597 AL Part A Provider - Rural Health Clinic 8820305600 Practice locations: Centre, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851187686. Details of each certification follow.

Rural health clinic certification: CCN 013800

Legal name
RURAL URGENT CARE LLC
Doing business as
MAINSTREET FAMILY CARE - CENTRE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 19, 2025
Last certification
Dec 19, 2025
Ownership / control type
1B
Organization structure
LLCProprietary
Enrollment address
1925 W Main St
Ste 102
Centre, AL 35960-2836

Other NPIs with the same Medicare PAC ID 20

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 20

National Provider Directory

National Provider Directory
Tax ID family
Rural Urgent Care LLC34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

Organizations that report the same tax identification number in the National Provider Directory.

View all 33

Locations

1925 W Main St
Centre, AL 35960
Phone (256) 484-8800

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Samuel Esklidsen Individual 5% Or Greater Indirect Ownership InterestCeo Jun 27, 2025
Corporate OfficerCeo Jun 27, 2025
Corporate DirectorCeo Jun 27, 2025
W-2 Managing EmployeeAd; Jun 27, 2025
Mainstreet Urgent Care Holdings Organization, Dallas, TX Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 1, 2015 100%

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mainstreet Family Care - Forest CityForest City, NC, CCN 343809 Rural health clinic Operational/Managerial Control (100%) Apr 15, 2021
Mainstreet Family Care - OxfordOxford, NC, CCN 343814 Rural health clinic Operational/Managerial Control (100%) Apr 15, 2021
Mainstreet Family Care - LibertyLiberty, NC, CCN 343899 Rural health clinic Operational/Managerial Control (100%) Apr 15, 2021
Mainstreet Family Care - TarboroTarboro, NC, CCN 343819 Rural health clinic Operational/Managerial Control (100%) Apr 15, 2021

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1851187686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 1ST AVE N UNIT 3",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352031866",
            "telephone_number": "205-545-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 W MAIN ST",
            "city": "CENTRE",
            "state": "AL",
            "postal_code": "359602835",
            "telephone_number": "256-677-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-17",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "ROCK",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "205-545-5090"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MainStreet Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centre, AL

Sources for this page

Verify at the official NPI Registry.