Mainstreet And Kidsstreet Of North Carolina PLLC
Clinic/Center, Rural Health in Swansboro, NC. Organization (NPI-2).
NPI number1891682001
StatusActive
Last updated in NPPESMar 20, 2026
Details
- NPI
- 1891682001
- Entity type
- Organization (NPI-2)
- Legal business name
- Mainstreet And Kidsstreet Of North Carolina PLLC
- Organization subpart
- No
- Enumeration date
- Jun 20, 2025
- Certification date
- Mar 20, 2026
- Last updated
- Mar 20, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR1300X | Clinic/Center, Rural Health | – | – | Yes |
Other names
- Mainstreet Family Care (Doing Business As)
Practice location
1058 W Corbett AveSwansboro, NC 28584-8458
Phone 256-854-9989
Mailing address
1531 3rd Ave NBirmingham, AL 35203-1828
Authorized official
Krista Rock
Vp
2055455090
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