Main Street Family Clinic LLC
NPI 1275326191 · Family Medicine Physician · Canton, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Main Street Family Clinic LLC is a Family Medicine Physician organization in Canton, OK (NPI 1275326191).
Provider details
- NPI number
- 1275326191
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Beth Holderby, Owner(580) 551-9131
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
1 yr 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
- 2025-05-23
- Last updated
- 2025-07-09
- Certified
- 2025-06-25
Frequently asked questions
- What is Main Street Family Clinic LLC's NPI number?
- Main Street Family Clinic LLC's National Provider Identifier (NPI) is 1275326191, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Main Street Family Clinic LLC?
- Main Street Family Clinic LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Main Street Family Clinic LLC located?
- Main Street Family Clinic LLC's practice location on file with NPPES is 213 W Main St, Canton, OK 73724-1234.
- What is Main Street Family Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Main Street Family Clinic LLC is (405) 506-9101.
- Does Main Street Family Clinic LLC accept Medicare?
- Main Street Family Clinic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Main Street Family Clinic LLC?
- The authorized official listed on Main Street Family Clinic LLC's NPPES record is Beth Holderby, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Main Street Family Clinic LLC's NPI active?
- Yes — Main Street Family Clinic LLC's NPI (1275326191) is active in the NPPES registry as of the last update on 2025-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.