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MAIN STREET MEDICAL CENTER INC
NPI 1063561041
Internal Medicine in Shenandoah, PA

Active since January 09, 2007
24 SOUTH MAIN STREET, SHENANDOAH, PA 17976(570) 462-1033(570) 462-1171 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Main Street Medical Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAIN STREET MEDICAL CENTER INC (NPI 1063561041) is a healthcare organization registered as an internal medicine in Shenandoah, Pennsylvania and active in the NPI registry since January 2007. The organization lists Adolph Michael Wychulis, Owner, as its authorized official.

NPPES Registry Identity

NPI1063561041
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMAIN STREET MEDICAL CENTER INC
Location Address24 SOUTH MAIN STREETShenandoah, PA 17976
Mailing Address24 South Main StreetShenandoah, PA 17976 · (570) 462-1033 · Fax (570) 462-1171
Phone(570) 462-1033
Fax(570) 462-1171
Organization SubpartNo
Authorized OfficialAdolph Michael WychulisOwner · (570) 462-1033
Enumeration DateJanuary 9, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063561041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD418365
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
24 SOUTH MAIN STREET, Shenandoah, PA 17976
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Other Identifiers 1

Medicaid0019487500001PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Main Street Medical Center Inc's NPI number?

The NPI number for Main Street Medical Center Inc is 1063561041. It was assigned to this organization in the NPPES registry on January 9, 2007.

Where is Main Street Medical Center Inc located?

Main Street Medical Center Inc is located at 24 South Main Street, Shenandoah, PA 17976. The listed phone number is (570) 462-1033.

What is Main Street Medical Center Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Main Street Medical Center Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.