MAINLINE HEALTH SYSTEMS, INC.; NPI #1285105957

Contact Information

MAINLINE HEALTH SYSTEMS, INC.

505 SYCAMORE ST.
RISON, AR 71665

Phone: 870-325-6255
Fax: 870-325-6117
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for MAINLINE HEALTH SYSTEMS, INC.

NPI Number 1285105957

LBN Legal business name MAINLINE HEALTH SYSTEMS, INC.

Authorized official GARY NICHOLS - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/06/2018

Last updated 03/20/2026 - About 3 months ago

Identifiers

Medicaid

236578749

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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