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Contact Information

MAINLINE HEALTH SYSTEMS, INC
2018 LADY JACK DRIVE
WARREN, AR71671
 Phone: 870-226-6754
 Fax: 870-226-7925
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Dental

261QD0000X
Indicates primary specialty

NPI Profile & details for MAINLINE HEALTH SYSTEMS, INC

NPI # 1386322766
LBN Legal business name MAINLINE HEALTH SYSTEMS, INC
Authorized official GARY NICHOLS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/06/2023
Last updated 03/23/2026 - About 3 months ago
Identifiers
AR Medicaid 308781749
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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