Mainstreet And Kidsstreet Of North Carolina PLLC
Clinic/Center, Urgent Care in Cameron, NC. Organization (NPI-2).
NPI number1184470767
StatusActive
Last updated in NPPESMar 20, 2026
Details
- NPI
- 1184470767
- Entity type
- Organization (NPI-2)
- Legal business name
- Mainstreet And Kidsstreet Of North Carolina PLLC
- Organization subpart
- No
- Enumeration date
- Apr 25, 2024
- Certification date
- Mar 20, 2026
- Last updated
- Mar 20, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QU0200X | Clinic/Center, Urgent Care | – | – | Yes |
Other names
- Mainstreet Family Care (Doing Business As)
Practice location
190 Lexie LnCameron, NC 28326
Phone 910-493-3819
Mailing address
1500 1st Ave N Unit 3Birmingham, AL 35203-1866
Authorized official
Krista Rock
Vp
2055455090
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.