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MAIN STREET FAMILY MEDICAL, INC.
NPI 1386837763
Clinic/Center - Primary Care in Safford, AZ

Active since August 20, 2007CLIA 03D1070612 · Microscopy
500 W MAIN ST, SAFFORD, AZ 85546(192) 834-8710(928) 348-7813 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Main Street Family Medical, Inc. NPPES

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

MAIN STREET FAMILY MEDICAL, INC. (NPI 1386837763) is a healthcare organization registered as a primary care in Safford, Arizona and active in the NPI registry since August 2007. The organization holds a CLIA Microscopy certificate valid through July 2, 2027 and lists Jeremy W Scott, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1386837763
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMAIN STREET FAMILY MEDICAL, INC.
Location Address500 W MAIN STSafford, AZ 85546-2727
Mailing Address500 W Main StSafford, AZ 85546-2727 · (192) 834-8710 · Fax (928) 348-7813
Phone(192) 834-8710
Fax(928) 348-7813
Organization SubpartNo
Authorized OfficialJeremy W ScottOffice Manager · (928) 348-7100
Enumeration DateAugust 20, 2007
Last NPPES UpdateNovember 20, 2025
NPPES CertifiedNovember 20, 2025
✔ NPI 1386837763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
500 W MAIN ST, Safford, AZ 85546
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 03D1070612

Main Street Family Medical · Safford, AZ
Active · expires Jul 2, 2027
CLIA Number03D1070612
Laboratory TypePhysician Office
Certificate Effective DateJuly 3, 2025
Certificate Expiration DateJuly 2, 2027
Laboratory DirectorCharles S. Kertay, MD
Laboratory Phone(928) 348-7100
Laboratory LocationMain Street Family Medical118 W 5th St, Safford, AZ 85546
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Family Medical, Inc.'s NPI number?

The NPI number for Main Street Family Medical, Inc. is 1386837763. It was assigned to this organization in the NPPES registry on August 20, 2007.

Where is Main Street Family Medical, Inc. located?

Main Street Family Medical, Inc. is located at 500 W Main St, Safford, AZ 85546. The listed phone number is (192) 834-8710.

What is Main Street Family Medical, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Main Street Family Medical, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 03D1070612) is associated with this NPI, valid through July 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Main Street Family Medical, Inc. was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.