| Mainline Health Systems Inc | |
|
1012 E Church St Ste B Warren AR 71671-3530 | |
| (870) 226-6754 | |
| (870) 226-7925 |
| Full Name | Mainline Health Systems Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1012 E Church St Ste B, Warren, 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 1012 E Church St Ste B Warren AR 71671-3530 Ph: (870) 226-6754 |
| NPI Number | 1396383758 |
|---|---|
| Provider Enumeration Date | 12/17/2019 |
| Last Update Date | 05/15/2025 |
| Certification Date | 05/15/2025 |
| Medicare PECOS PAC ID | 5193785590 |
|---|---|
| Medicare Enrollment ID | O20200113001949 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396383758 | NPI | - | NPPES |
| 240737749 | Medicaid | AR |
Mainline Health Systems Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 803 N Walnut St Rm 214, Warren, AR 71671 Phone: 870-226-6754 Fax: 870-226-7925 | |
Bradley County Medical Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 404 S Bradley St, Warren, AR 71671 Phone: 870-226-3731 Fax: 870-226-4300 | |
Mainline Health Systems, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 212 Scoby Dr, Warren, AR 71671 Phone: 870-226-6754 Fax: 870-226-6754 | |
Mainline Health Systems, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 210 Scoby Dr, Warren, AR 71671 Phone: 870-226-6754 Fax: 870-226-7925 | |
Mainline Health Systems, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 931 N Myrtle St, Building D, Warren, AR 71671 Phone: 870-226-6754 Fax: 870-226-7925 |