| Mainline Health Systems, Inc | |
|
931 N Myrtle St Building D Warren AR 71671 | |
| (870) 355-2512 | |
| (855) 754-0598 |
| Full Name | Mainline Health Systems, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 931 N Myrtle St, Warren, Arkansas |
| Authorized Official Name and Position | Gary Allan Nichols (CEO) |
| Authorized Official Contact | 8709423000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mainline Health Systems, Inc Po Box 509 Dermott AR 71638-0509 Ph: (870) 942-3000 | Mainline Health Systems, Inc 931 N Myrtle St Building D Warren AR 71671 Ph: (870) 355-2512 |
| NPI Number | 1407510720 |
|---|---|
| Provider Enumeration Date | 10/22/2021 |
| Last Update Date | 04/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407510720 | NPI | - | NPPES |
| 280277631 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Mainline Health Systems, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2018 Lady Jack Drive, Warren, AR 71638 Phone: 870-466-8450 Fax: 877-456-0923 | |
Mainline Health Systems, Inc Dental Clinic Medicare: Medicare Enrolled Practice Location: 2018 Lady Jack Drive, Warren, AR 71671 Phone: 870-226-6754 Fax: 870-226-7925 | |
Donnie R. Bryant, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 W Church St, Warren, AR 71671 Phone: 870-226-6556 Fax: 870-226-6150 |