| Mainline Health Systems, Inc | |
|
250 University Dr Monticello AR 71655-8891 | |
| (479) 957-9685 | |
| (888) 335-9961 |
| Full Name | Mainline Health Systems, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 250 University Dr, Monticello, 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 250 University Dr Monticello AR 71655-8891 Ph: (479) 957-9685 |
| NPI Number | 1659890150 |
|---|---|
| Provider Enumeration Date | 09/15/2017 |
| Last Update Date | 05/15/2025 |
| Certification Date | 05/15/2025 |
| Medicare PECOS PAC ID | 5193785590 |
|---|---|
| Medicare Enrollment ID | O20171107001246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659890150 | NPI | - | NPPES |
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