NPI age
19 years
Enumerated 2007-01-23
● Active Type 2 · Organization
Main Street Medical Llc
Main Street Medical Llc is 1 of 1691 family medicine organizations in Idaho.
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Newhouse
Owner
Last NPPES update
2008-02-22
Source: monthly bulk 2026-05
How this organization compares
Across 1691 active family medicine providers in Idaho.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
6641 Kaniksu St, Suite A
Bonners Ferry, ID 838057532
Mailing address
Po Box 1640
Bonners Ferry, ID 838051640
Authorized official
Chuck Newhouse, MD
Owner
📞 2082653655
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Scott Lacefield, PA-C Physician Assistant NPI 1780910547
- Susan Layeux, MD Family Medicine NPI 1871557991
- Janet Lukehart, MSN, FNP-BC Nurse Practitioner NPI 1285772699
- Chuck Newhouse, MD Family Medicine NPI 1356374664
- Van Stonehocker, PA-C Physician Assistant NPI 1649892829
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | M7989 | IDAHO LICENSE |
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.