Main Street Medical LLC
NPI 1134274103 · Family Medicine Physician · Bonners Ferry, ID
Main Street Medical LLC is a Family Medicine Physician organization in Bonners Ferry, ID (NPI 1134274103).
Provider details
- NPI number
- 1134274103
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Chuck Newhouse, Owner(208) 265-3655
- License
- M-7989 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-23
- Last updated
- 2008-02-22
Frequently asked questions
- What is Main Street Medical LLC's NPI number?
- Main Street Medical LLC's National Provider Identifier (NPI) is 1134274103, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Main Street Medical LLC?
- Main Street Medical LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Main Street Medical LLC located?
- Main Street Medical LLC's practice location on file with NPPES is 6641 Kaniksu St, Bonners Ferry, ID 83805-7532.
- What is Main Street Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Main Street Medical LLC is (208) 265-3655.
- Who is the authorized official for Main Street Medical LLC?
- The authorized official listed on Main Street Medical LLC's NPPES record is Chuck Newhouse, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Main Street Medical LLC's NPI active?
- Yes — Main Street Medical LLC's NPI (1134274103) is active in the NPPES registry as of the last update on 2008-02-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.