Mainline Health Systems, INC

NPI #1548949852 in Lake Village, Arkansas

Provider Information

NPI Number
1548949852
Entity Type
Organization
Organization Name
Mainline Health Systems, INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jul 13, 2023
Last Updated
May 14, 2025

Practice Location

Address
2729 US 65
ZIP Code
71653
Phone
(870) 466-4987

Authorized Official

Name
GARY ALLAN NICHOLS
Title
CEO
Phone
(870) 942-3000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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