Main Street Medical Center, LLC
Main Street Medical Center, LLC is a Primary Care Clinic/Center in Red River, New Mexico. Licensed in New Mexico. Registered with an NPI since 2012.
- Licensed in
- NM
- In the registry since
- 2012
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
105 E Main StRed River, NM 87558-0010
Phone: (575) 754-6330
Fax: (575) 754-6232
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence CNP-01822 (NM) |
|---|---|
| Primary Care Clinic/Center | Taxonomy 261QP2300X |
Record details
| NPI number | 1225389919 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jessica Cross — Owner · (575) 754-6330 |
| NPI enumerated | September 21, 2012 |
| Last updated in NPPES | July 15, 2025 |
| Certification date | July 1, 2025 |
| Mailing address | Po Box 10, Red River, NM 87558-0010 |