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OrganizationActive

1150 Main Street Inc

Family Medicine

SHIRLEY DICKINSON
NPI: 1912347261Watsonville, California, 95076(831) 728-0551

About 1150 Main Street Inc

1150 Main Street Inc is a healthcare organization providing Family Medicine services, registered under National Provider Identifier (NPI) number 1912347261. The authorized official for 1150 Main Street Inc is SHIRLEY DICKINSON.

The organization is headquartered at 1150 MAIN ST STE 3, Watsonville, California 95076. The main office can be reached at (831) 728-0551. 1150 Main Street Inc has been NPI-registered since 2013.

Locations & Contact

Primary Location

Address
1150 MAIN ST STE 3
City
Watsonville
State
California
ZIP
95076-3760
Phone
(831) 728-0551
Fax
(831) 728-3679
View on Google Maps

Authorized Official

Name
SHIRLEY DICKINSON

Mailing Address

Address
1150 MAIN ST STE 3
City
WATSONVILLE
State
CA
ZIP
950763760

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Family Medicine
Classification
Family Medicine
Taxonomy Code
207Q00000X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is 1150 Main Street Inc's NPI number?
1150 Main Street Inc's National Provider Identifier (NPI) is 1912347261. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does 1150 Main Street Inc specialize in?
1150 Main Street Inc specializes in Family Medicine.
Where is 1150 Main Street Inc located?
1150 Main Street Inc practices at 1150 MAIN ST STE 3, Watsonville, California 95076. You can reach them by phone at (831) 728-0551.
Does 1150 Main Street Inc accept Medicare?
Based on available data, 1150 Main Street Inc is not currently enrolled in the Medicare program.
Does 1150 Main Street Inc offer telehealth or virtual visits?
1150 Main Street Inc does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. 1150 Main Street Inc holds NPI 1912347261, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.