Mainline Health Systems, INC

NPI #1972464337 in Magnolia, Arkansas

Provider Information

NPI Number: 1972464337
Entity Type: Organization
Organization Name: Mainline Health Systems, INC
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Nov 24, 2025
Last Updated: Dec 2, 2025

Practice Location

Address: 1617 N WASHINGTON ST STE 1
City: Magnolia
State: Arkansas
ZIP Code: 71753-2046
Phone: (501) 451-4110

Authorized Official

Name: ELYSE KNOBLOCH
Title: CHIEF FINANCIAL OFFICER
Phone: (870) 538-5412

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Cognitive & Behavioral — Cognitive & Behavioral	103TB0200X
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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