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Mainline Health Systems, Inc
Federally Qualified Health Center (FQHC) in Lake Village, Arkansas
NPI 1326586173

Mainline Health Systems, Inc is a Federally Qualified Health Center (FQHC) based in Dermott, AR and is specialized in Federally Qualified Health Center (FQHC). Mainline Health Systems, Inc practices in Lake Village, AR. The NPI Number for Mainline Health Systems, Inc is 1326586173 and holds a License No. (Arkansas).

The current practice location address for Mainline Health Systems, Inc is 360 A Hwy 82, Lake Village, AR and can be reached out via phone at 870-201-2127 and via fax at 888-671-8943.

Location: 360 A Hwy 82, Lake Village, AR, 71638-0509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326586173
Provider Name
Mainline Health Systems, Inc
Credential
Provider Entity Type
Organization
Address
360 A Hwy 82, Lake Village, AR, 71638-0509
Phone Number
870-201-2127
Fax Number
888-671-8943
Provider Enumeration Date
02/01/2017
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
226028631 05 AR
institution
Provider Business Practice Location Address Details
Address
360 A Hwy 82
City
Lake Village
State
Arkansas
Zip
71653
Phone Number
870-201-2127
Fax Number
888-671-8943
person
Provider Business Mailing Address Details
Address
360 A Hwy 82
City
Lake Village
State
Arkansas
Zip
71653
Phone Number
870-201-2127
Fax Number
888-671-8943
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
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