Main Street Medical Center, LLC
NPI #1225389919 in Red River, New Mexico
Provider Information
- NPI Number
- 1225389919
- Entity Type
- Organization
- Organization Name
- Main Street Medical Center, LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Sep 21, 2012
- Last Updated
- Jul 15, 2025
Practice Location
- Address
- 105 E MAIN STREET
- City
- Red River
- State
- New Mexico
- ZIP Code
- 87558-0010
- Phone
- (575) 754-6330
Authorized Official
- Name
- JESSICA L CROSS, FNP-BC
- Title
- OWNER
- Phone
- (575) 754-6330
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
| Nurse Practitioner - Family — Family |
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