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MAIN STREET MEDICAL LLC
NPI 1134274103
Family Medicine in Bonners Ferry, ID

Active since January 23, 2007
6641 KANIKSU ST, SUITE A, BONNERS FERRY, ID 83805(208) 265-3655(208) 267-3757 Get Directions Write a Review

NPPES record last updated: February 22, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Main Street Medical Llc NPPES

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

MAIN STREET MEDICAL LLC (NPI 1134274103) is a healthcare organization registered as a family medicine in Bonners Ferry, Idaho and active in the NPI registry since January 2007. The organization lists Chuck Newhouse, Owner, as its authorized official.

NPPES Registry Identity

NPI1134274103
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAIN STREET MEDICAL LLC
Location Address6641 KANIKSU ST, SUITE ABonners Ferry, ID 83805-7532
Mailing AddressPo Box 1640Bonners Ferry, ID 83805-1640 · (208) 265-3655 · Fax (208) 267-3757
Phone(208) 265-3655
Fax(208) 267-3757
Organization SubpartNo
Authorized OfficialChuck NewhouseOwner · (208) 265-3655
Enumeration DateJanuary 23, 2007
Last NPPES UpdateFebruary 22, 2008
✔ NPI 1134274103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ID · M-7989
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6641 KANIKSU ST, Bonners Ferry, ID 83805
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Other Identifiers 2

OtherM7989ID · Idaho License
Medicare PIN1370683ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JANET MARIE LUKEHART MSN, FNP-BC
Nurse Practitioner (Family)
6641 KANIKSU ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-3655
MS. HEATHER BARTLETT APRN -PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
6641 KANIKSU ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-3655
CHUCK LEE NEWHOUSE MD
Family Medicine
6641 KANIKSU ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-3655
VAN MARTIN STONEHOCKER PA-C
Physician Assistant
6641 KANIKSU ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-3655
SCOTT LACEFIELD PA-C
Physician Assistant
6641 KANIKSU ST, SUITE A
BONNERS FERRY, ID 83805
Boundary County (208) 267-3655
BOUNDARY COMMUNITY HOSPITAL
Clinic/Center (Rural Health)
6641 KANIKSU ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-3655
DR. SUSAN J LAYEUX MD
Family Medicine
6641 KANIKSU ST, SUITE A
BONNERS FERRY, ID 83805
Boundary County (208) 267-3655

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 LLC's NPI number?

The NPI number for Main Street Medical LLC is 1134274103. It was assigned to this organization in the NPPES registry on January 23, 2007.

Where is Main Street Medical LLC located?

Main Street Medical LLC is located at 6641 Kaniksu St Suite A, Bonners Ferry, ID 83805. The listed phone number is (208) 265-3655.

What is Main Street Medical LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Main Street Medical LLC was last updated on February 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.