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MAIN STREET FAMILY MEDICAL, LLC
NPI 1952025249
Clinic/Center - Primary Care in Spiro, OK

Active since September 29, 2022CLIA 37D2270175 · Waiver
701 W BROADWAY ST, SPIRO, OK 74959(918) 962-8009(918) 962-8027 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 7, 2023, Sep 29, 2022 (2 updates tracked since 2022).

About Main Street Family Medical, Llc NPPES

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

MAIN STREET FAMILY MEDICAL, LLC (NPI 1952025249) is a healthcare organization registered as a primary care in Spiro, Oklahoma and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through October 10, 2026 and lists Elizabeth Trudy Davis, Founder, as its authorized official.

NPPES Registry Identity

NPI1952025249
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMAIN STREET FAMILY MEDICAL, LLC
Location Address701 W BROADWAY STSpiro, OK 74959-2456
Mailing Address32415 Peach Creek RdRed Oak, OK 74563-1101 · (918) 448-7854
Phone(918) 962-8009
Fax(918) 962-8027
Organization SubpartNo
Authorized OfficialElizabeth Trudy DavisFounder · (918) 448-7854
Enumeration DateSeptember 29, 2022
Last NPPES UpdateSeptember 7, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
✔ NPI 1952025249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
701 W BROADWAY ST, Spiro, OK 74959
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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 37D2270175

Main Street Family Medical, LLC · Spiro, OK
Active · expires Oct 10, 2026
CLIA Number37D2270175
Laboratory TypePractitioner Other
Certificate Effective DateOctober 11, 2024
Certificate Expiration DateOctober 10, 2026
Laboratory DirectorElizabeth Davis
Laboratory Phone(918) 962-8009
Laboratory LocationMain Street Family Medical, LLC701 W Broadway, Spiro, OK 74959
CLIA data matches this NPI record on: Address 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.

ELIZABETH TRUDY DAVIS APRN-CNP
Nurse Practitioner (Family)
701 W BROADWAY ST
SPIRO, OK 74959
Le Flore County (918) 962-8009
BRAZIL FAMILY MEDICAL CLINIC
Clinic/Center (Health Service)
701 W BROADWAY ST
SPIRO, OK 74959
Le Flore County (918) 962-8009
MARCELLA P JONES DO PLLC
Family Medicine
701 W BROADWAY ST
SPIRO, OK 74959
Le Flore County (866) 243-7203

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, LLC's NPI number?

The NPI number for Main Street Family Medical, LLC is 1952025249. It was assigned to this organization in the NPPES registry on September 29, 2022.

Where is Main Street Family Medical, LLC located?

Main Street Family Medical, LLC is located at 701 W Broadway St, Spiro, OK 74959. The listed phone number is (918) 962-8009.

What is Main Street Family Medical, LLC'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, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2270175) is associated with this NPI, valid through October 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Main Street Family Medical, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Main Street Family Medical, 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 Main Street Family Medical, LLC was last updated on September 7, 2023. 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.