| Mainline Uam Behavioral Health Clinic | |
|
517 University Dr Suite 201 Monticello AR 71655 | |
| (870) 367-6246 | |
| (855) 926-7383 |
| Full Name | Mainline Uam Behavioral Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 517 University Dr, Monticello, Arkansas |
| Authorized Official Name and Position | Gary Allan Nichols (CEO) |
| Authorized Official Contact | 8705385414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mainline Uam Behavioral Health Clinic Po Box 509 Dermott AR 71638-0509 Ph: (870) 538-5414 | Mainline Uam Behavioral Health Clinic 517 University Dr Suite 201 Monticello AR 71655 Ph: (870) 367-6246 |
| NPI Number | 1326717745 |
|---|---|
| Provider Enumeration Date | 09/09/2021 |
| Last Update Date | 10/26/2021 |
| Medicare PECOS PAC ID | 5193785590 |
|---|---|
| Medicare Enrollment ID | O20220527001267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326717745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Mmc2 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 733 Roberts Drive, Monticello, AR 71655 Phone: 870-367-6867 Fax: 870-367-1461 | |
University Of Arkansas At Monticello Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 663 University Drive, Monticello, AR 71656 Phone: 870-460-1058 | |
Jefferson Regional Monticello Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 906 Roberts Drive, Suite B, Monticello, AR 71655 Phone: 870-367-1461 | |
Drew Memorial Hospital, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 778 Scogin Dr, Monticello, AR 71655 Phone: 870-367-2411 Fax: 870-460-3562 | |
Monticello Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 535 Jordan Dr, Monticello, AR 71655 Phone: 870-367-6246 Fax: 855-926-7383 | |
Sheiron Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 733 Roberts Dr, Monticello, AR 71655 Phone: 870-367-3246 Fax: 870-367-3271 |