Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Main Street Medical LLC

Organization Family Medicine Physician · NPI 1134274103

Main Street Medical LLC is a Family Medicine Physician in Bonners Ferry, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6641 Kaniksu St Ste A
Bonners Ferry, ID 83805-7532
Phone: (208) 265-3655
Fax: (208) 267-3757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M-7989 (ID)

Record details

NPI number1134274103
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chuck Newhouse — Owner · (208) 265-3655
NPI enumeratedJanuary 23, 2007
Last updated in NPPESFebruary 22, 2008
Mailing addressPo Box 1640, Bonners Ferry, ID 83805-1640

Other providers in Bonners Ferry