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Main Street Medical Center, LLC

Family Nurse Practitioner in Red River, NM · enumerated 2012 · authorized official Jessica Cross, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1225389919

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Registry record

Entity type Organization (Type 2)
Legal business name Main Street Medical Center, LLC
Practice address 105 E Main Street, Red River, NM, 87558
Phone (575) 754-6330
Fax (575) 754-6232
Enumeration date Sep 21, 2012
Last updated in NPPES Jul 15, 2025

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License CNP-01822 (NM) Primary

Authorized official

Name Jessica Cross
Title Owner
Phone (575) 754-6330

Other identifiers

Identifier Type State Issuer
1225389919 Other NM ORG 2 NPI

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Main Street Medical Center, LLC?
Main Street Medical Center, LLC is registered in NPPES as a Family Nurse Practitioner (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-07-15.