Mainline Health Systems, Inc | |
360 A Hwy 82 Lake Village AR 71653 | |
(870) 201-2127 | |
(888) 671-8943 |
Full Name | Mainline Health Systems, Inc |
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Speciality | Clinic/center - Dental |
Location | 360 A Hwy 82, Lake Village, Arkansas |
Authorized Official Name and Position | Gary Allan Nichols (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8705385414 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mainline Health Systems, Inc Po Box 509 Dermott AR 71638-0509 Ph: (870) 538-5414 | Mainline Health Systems, Inc 360 A Hwy 82 Lake Village AR 71653 Ph: (870) 201-2127 |
NPI Number | 1326586173 |
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Provider Enumeration Date | 02/01/2017 |
Last Update Date | 08/30/2022 |
Identifier | Type | State | Issuer |
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1326586173 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Chicot Memorial Medical Center Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2729 S. Hwy 65 82, Lake Village, AR 71653 Phone: 870-265-5351 |