| Mainline Health Systems Inc | |
|
803 N Walnut St Warren AR 71671-2008 | |
| (870) 226-6754 | |
| (870) 226-7925 |
| Full Name | Mainline Health Systems Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 803 N Walnut St, Warren, Arkansas |
| Authorized Official Name and Position | Tafta Mccain (CFO) |
| Authorized Official Contact | 8705385414 |
| 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) 538-5414 | Mainline Health Systems Inc 803 N Walnut St Warren AR 71671-2008 Ph: (870) 226-6754 |
| NPI Number | 1215700265 |
|---|---|
| Provider Enumeration Date | 11/01/2023 |
| Last Update Date | 12/06/2023 |
| Medicare PECOS PAC ID | 5193785590 |
|---|---|
| Medicare Enrollment ID | O20231218003781 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215700265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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