MAIN STREET CLINIC, LLC – NPI #1356903827
Clinic/Center

MAIN STREET CLINIC, LLC is an AHC clinic located in WINONA, MN. NPPES has assigned the NPI number 1356903827 to MAIN STREET CLINIC, LLC on July 03, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MAIN STREET CLINIC, LLC below.

NPI Profile for
MAIN STREET CLINIC, LLC

NPI Number
1356903827
Enumeration Date

(about 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MAIN STREET CLINIC, LLC
Primary location
107 WEST 4TH ST
WINONA, MN 55987
Phone: (507) 454-3650 Fax:
Mailing address
855 MANKATO AVE
WINONA, MN 55987-4868
Phone: (507) 454-3650 Fax:
Organization Subpart
No
Authorized Official
RACHELLE HEISING SCHULTZ
PRESIDENT/CEO
Phone: (507) 454-3650
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.