MAIN STREET MEDICAL CENTER, LLC
MAIN STREET MEDICAL CENTER, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1225389919, based in Red River, NM. The organization lists 2 taxonomy classifications, with Family Nurse Practitioner recorded as primary.
Getting there
The practice address on file is 105 E MAIN STREET, Red River, NM 87558. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| CNP-01822 | NM | Family Nurse Practitioner primary |
This provider holds licence CNP-01822 issued in NM. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 6406360684
- Enrollment ID
- O20250709002848
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Family covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363LF0000X | Family Nurse Practitioner Family | CNP-01822 | NM | primary |
| 261QP2300X | Primary Care Clinic/Center Primary Care | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1225389919 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Sep 21, 2012 |
| Last updated | Jul 15, 2025 |
| Status | Active |
| Practice address |
105 E MAIN STREET Red River, NM 87558 (575) 754-6330 Fax (575) 754-6232 |
| Mailing address |
PO BOX 10 Red River, NM 87558 |
| Other identifiers |
1225389919
· Other (NM) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 2 | 5 | 3 | 8 | 9 | 9 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 4 | 5 | 6 | 8 | 9 | 9 | 2 |
Sum = 71 · next multiple of 10 = 80 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.