Main Street Family Practice, Inc - Primary Care in Logan, WV

Main Street Family Practice, Inc is a primary clinic (Family Medicine) in Logan, West Virginia. The current practice location for Main Street Family Practice, Inc is 533 Main St, Logan, West Virginia. For appointments, you can reach them via phone at (304) 752-3400. The mailing address for Main Street Family Practice, Inc is 533 Main St, Logan, West Virginia and phone number is (304) 752-3400.

Main Street Family Practice, Inc is licensed to practice in West Virginia (license number 016632) and its NPI number is 1073542809. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (304) 752-3400.

Contact Information

Main Street Family Practice, Inc
533 Main St
Logan
WV 25601-3809
(304) 752-3400
(304) 752-8138

Primary Care Clinic Profile

Full NameMain Street Family Practice, Inc
SpecialityFamily Medicine
Location533 Main St, Logan, West Virginia
Authorized Official Name and PositionKenneth Sells (PRESIDENT)
Authorized Official Contact3047523400
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Main Street Family Practice, Inc
533 Main St
Logan
WV 25601-3809

Ph: (304) 752-3400
Main Street Family Practice, Inc
533 Main St
Logan
WV 25601-3809

Ph: (304) 752-3400

NPI Details:

NPI Number1073542809
Provider Enumeration Date07/02/2006
Last Update Date08/22/2020

Medical Identifiers

Medical identifiers for Main Street Family Practice, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073542809NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 016632 (West Virginia)Primary

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