MAIN STREET MEDICAL CLINIC, P.A.
NPI 1841298791
Internal Medicine in Benton, AR
About Main Street Medical Clinic, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAIN STREET MEDICAL CLINIC, P.A. (NPI 1841298791) is a healthcare organization registered as an internal medicine in Benton, Arkansas and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through November 16, 2027 and lists Sheryl Wilchman, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
Accepted Insurance
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 of Waiver 04D1019297
Main Street Medical · Benton, AROther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Clinic, P.A.'s NPI number?
The NPI number for Main Street Medical Clinic, P.A. is 1841298791. It was assigned to this organization in the NPPES registry on July 13, 2005.
Where is Main Street Medical Clinic, P.A. located?
Main Street Medical Clinic, P.A. is located at 722 N Main St, Benton, AR 72015. The listed phone number is (501) 315-0059.
What is Main Street Medical Clinic, P.A.'s specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Does Main Street Medical Clinic, P.A. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 04D1019297) is associated with this NPI, valid through November 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Main Street Medical Clinic, P.A. accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Main Street Medical Clinic, P.A. 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 Main Street Medical Clinic, P.A. was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Main Street Medical Clinic, P.a. · NPI 1841298791
Internal Medicine organization in Benton, Arkansas. Organization record, active in the CMS NPPES registry since July 13, 2005.
## Identity
- **NPI:** 1841298791 (Entity type: Organization)
- **Enumerated:** July 13, 2005
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Sheryl Wilchman, OFFICE MANAGER
## Practice location
- **Address:** 722 N MAIN ST, Benton, AR 72015-3337
- **Phone:** (501) 315-0059 · **Fax:** (501) 315-1320
## Record status
- **NPPES last updated:** May 20, 2021
- **Other identifiers:** Medicaid 150521002 (AR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1841298791) · Data from the CMS NPPES public registry.