OrganizationActive
Main Street Family Medical, LLC
NPI 1952025249 · Primary Care Clinic/Center · Spiro, OK
Provider details
- NPI number
- 1952025249
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Elizabeth Davis, Founder(918) 448-7854
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
701 W Broadway St
Spiro, OK 74959-2456
Phone: (918) 962-8009
Fax: (918) 962-8027
Street-level locationGet directions
Mailing address
32415 Peach Creek Rd
Red Oak, OK 74563-1101
Registry dates
- Enumerated
- 2022-09-29
- Last updated
- 2023-09-07
- Certified
- 2023-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.