Mainline Health Systems INC
NPI #1861156481 in Monticello, Arkansas
Provider Information
- NPI Number
- 1861156481
- Entity Type
- Organization
- Organization Name
- Mainline Health Systems INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Oct 29, 2021
- Last Updated
- May 28, 2025
Practice Location
- Address
- 136 UNIVERSITY CT
- City
- Monticello
- State
- Arkansas
- ZIP Code
- 71655-0002
- Phone
- (870) 224-0647
Authorized Official
- Name
- GARY ALLAN NICHOLS
- Title
- CEO
- Phone
- (870) 942-3000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Cognitive & Behavioral — Cognitive & Behavioral |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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