| Mainline Health Systems, Inc | |
|
1119 S Main St Hamburg AR 71646-8983 | |
| (870) 229-0798 | |
| (877) 751-3582 |
| Full Name | Mainline Health Systems, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1119 S Main St, Hamburg, 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 1119 S Main St Hamburg AR 71646-8983 Ph: (870) 229-0798 |
| NPI Number | 1033584586 |
|---|---|
| Provider Enumeration Date | 12/09/2015 |
| Last Update Date | 05/15/2025 |
| Medicare PECOS PAC ID | 5193785590 |
|---|---|
| Medicare Enrollment ID | O20160606000110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033584586 | NPI | - | NPPES |
| 214422749 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Crossett Health Foundation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 319 W Parker St, Hamburg, AR 71646 Phone: 870-853-8271 Fax: 870-364-1245 | |
Mainline Health Systems, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1109 Cub Drive, Hamburg, AR 71646 Phone: 870-224-0116 Fax: 877-751-3582 | |
Hamburg Health Clinic Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 319 W Parker, Hamburg, AR 71646 Phone: 870-853-8271 Fax: 870-853-8932 | |
Mainline Health Systems, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 206 S Bartlett, Hamburg, AR 71646 Phone: 870-538-5414 Fax: 870-538-5412 |