National Provider Identifier Database

MAINLINE HEALTH SYSTEMS INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

MAINLINE HEALTH SYSTEMS, INC
2018 LADY JACK DRIVE
WARREN, AR71671
Phone: 870-226-6754
Fax: 870-226-7925
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Dental 261QD0000X

* Indicates primary specialty

NPI Profile & details for MAINLINE HEALTH SYSTEMS, INC

NPI Number 1386322766
Legal business name
LBN
MAINLINE HEALTH SYSTEMS, INC
Authorized official GARY NICHOLS - (CEO)
Entity Organization
Organization subpart No
Enumeration date 07/06/2023
Last updated 03/23/2026 - About 3 months ago
Sole proprietor1 Not specified
Identifiers
  • AR Medicaid: 308781749

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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