| Mainline Health Systems, Inc | |
|
360a W Highway 82 Lake Village AR 71653-7501 | |
| (870) 201-2127 | |
| (888) 671-8943 |
| Full Name | Mainline Health Systems, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 360a W Highway 82, Lake Village, Arkansas |
| Authorized Official Name and Position | Gary Allan Nichols (CEO) |
| Authorized Official Contact | 8709423000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mainline Health Systems, Inc Po Box 509 Dermott AR 71638-0509 Ph: (870) 942-3000 | Mainline Health Systems, Inc 360a W Highway 82 Lake Village AR 71653-7501 Ph: (870) 201-2127 |
| NPI Number | 1508303124 |
|---|---|
| Provider Enumeration Date | 01/20/2017 |
| Last Update Date | 05/15/2025 |
| Certification Date | 05/15/2025 |
| Medicare PECOS PAC ID | 5193785590 |
|---|---|
| Medicare Enrollment ID | O20171109000593 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508303124 | NPI | - | NPPES |
| 223565749 | Medicaid | AR |
Alternative Opportunities Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1652 Hwy 65/82 South, Lake Village, AR 71653 Phone: 870-265-3711 Fax: 870-265-3707 | |
Arrowstar Living Assistance Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1659 S Highway 65 82, Lake Village, AR 71653 Phone: 870-632-5000 | |
Maxus Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 Main Street, Lake Village, AR 71653 Phone: 870-265-2186 Fax: 870-265-2305 | |
Dayspring Services Of Arkansas Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 608 S Highway 65 82 Ste B, Lake Village, AR 71653 Phone: 870-265-3711 Fax: 870-265-3707 |