There is one place named Main Island in America.
All places in the world called "Main Island".
Riverside (46)
Centerville (43)
Fairview (40)
Midway (39)
Franklin (39)
Union (37)
Greenwood (37)
Glendale (36)
Salem (36)
Marion (36)
Lincoln (35)
Fairfield (35)
Pleasant Valley (35)
Georgetown (35)
Oakland (35)
Liberty (35)
Greenville (34)
Bethel (34)
Springfield (34)
Clinton (34)
Arlington (34)
Florence (34)
Clifton (33)
Milton (33)
Hamilton (33)
Newport (33)
Farmington (33)
Chester (33)
Kingston (33)
Lakeview (32)