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MAIN STREET MEDICAL CENTERS
NPI 1457826398
Clinic/Center in Port Richey, FL

Active since October 08, 2018CLIA Certified · 2 labs
6506 EMBASSY BLVD, PORT RICHEY, FL 34668(727) 378-2987 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 9, 2024, Mar 27, 2020, Jan 18, 2019 and 1 more (4 updates tracked since 2018).

About Main Street Medical Centers NPPES

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

MAIN STREET MEDICAL CENTERS (NPI 1457826398) is a healthcare organization registered as a clinic/center in Port Richey, Florida and active in the NPI registry since October 2018. The organization holds 2 active CLIA laboratory certificates and lists Stephen O Banjoko, Cfo, as its authorized official.

NPPES Registry Identity

NPI1457826398
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePRICARE HEALTH LLC
Location Address6506 EMBASSY BLVDPort Richey, FL 34668-4734
Mailing AddressPo Box 17175Tampa, FL 33682-7175 · (813) 220-1400
Phone(727) 378-2987
Organization SubpartYesParent: Main Street Medical Llc
Authorized OfficialStephen O BanjokoCfo · (212) 257-0225
Enumeration DateOctober 8, 2018
Last NPPES UpdateAugust 9, 20244 updates tracked since enumeration
NPPES CertifiedAugust 9, 2024
✔ NPI 1457826398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
6506 EMBASSY BLVD, Port Richey, FL 34668
Open in Google Maps ↗

Other Names 1

Doing Business AsMain Street Medical Centers

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL).Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 of Waiver 10D2182880

Main Street Medical Centers · Tampa, FL
Active · expires Apr 26, 2028
CLIA Number10D2182880
Laboratory TypePhysician Office
Certificate Effective DateApril 27, 2026
Certificate Expiration DateApril 26, 2028
Laboratory DirectorMark Laflamme
Laboratory Phone(813) 220-1400
Laboratory LocationMain Street Medical Centers10549 N Florida Ave Ste I, Tampa, FL 33612
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2319645

Pricare Health LLC Dba Main Street Medical Center · Port Richey, FL
Active · expires Mar 4, 2027
CLIA Number10D2319645
Laboratory TypePhysician Office
Certificate Effective DateMarch 5, 2025
Certificate Expiration DateMarch 4, 2027
Laboratory DirectorMark R. Laflamme
Laboratory Phone(727) 378-2987
Laboratory LocationPricare Health LLC Dba Main Street Medical Center9434 Us Hwy 19, Port Richey, FL 34668
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MS. PEACE IHENOSEN AYO-AMU APRN
Nurse Practitioner (Family)
6506 EMBASSY BLVD
PORT RICHEY, FL 34668
Pasco County (727) 378-2987
ANNALICE LLC
Pharmacy
6506 EMBASSY BLVD
PORT RICHEY, FL 34668
Pasco County (727) 848-9400
WECARE HEALTH OPTIONS
Psychiatry & Neurology (Psychiatry)
6506 EMBASSY BLVD
PORT RICHEY, FL 34668
Pasco County (727) 271-7553

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 Pricare Health LLC's NPI number?

The NPI number for Pricare Health LLC is 1457826398. It was assigned to this organization in the NPPES registry on October 8, 2018. The provider is doing business as Main Street Medical Centers.

Where is Pricare Health LLC located?

Pricare Health LLC is located at 6506 Embassy Blvd, Port Richey, FL 34668. The listed phone number is (727) 378-2987.

What is Pricare Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Pricare Health LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Pricare Health LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list Pricare Health LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pricare Health LLC was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.