MAIN STREET CLINIC LLC is a clinic center in Manti, UT. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MAIN STREET CLINIC LLC NPI is 1750728176. The provider is registered as an organization entity type.
The provider's business location address is:
46 N MAIN ST
MANTI, UT
ZIP 84642-254
Phone: (435) 835-6000
Fax: (435) 835-6004
The provider's authorized official is Lauren Linn Miller .
The authorized official title is Owner and has the following contact phone number (435) 835-6000.
The CLIA number assigned to this NPI record is 46D2189192 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/24/2013 and was last updated on 5/24/2013.