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Mainline Health Systems, Inc
Federally Qualified Health Center (FQHC) in Dermott, Arkansas
NPI 1477004471

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 Dermott, AR. The NPI Number for Mainline Health Systems, Inc is 1477004471 and holds a License No. (Arkansas).

The current practice location address for Mainline Health Systems, Inc is 525 E Speedway St, Dermott, AR and can be reached out via phone at 870-538-3355 and via fax at 855-811-4203.

Location: 525 E Speedway St, Dermott, AR, 71638-0509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477004471
Provider Name
Mainline Health Systems, Inc
Credential
Provider Entity Type
Organization
Address
525 E Speedway St, Dermott, AR, 71638-0509
Phone Number
870-538-3355
Fax Number
855-811-4203
Provider Enumeration Date
10/14/2016
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
217430749 05 AR
institution
Provider Business Practice Location Address Details
Address
525 E Speedway St
City
Dermott
State
Arkansas
Zip
71638-2322
Phone Number
870-538-3355
Fax Number
855-811-4203
person
Provider Business Mailing Address Details
Address
525 E Speedway St
City
Dermott
State
Arkansas
Zip
71638-2322
Phone Number
870-538-3355
Fax Number
855-811-4203
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Cognitive & Behavioral
Taxonomy
103TB0200X
License No.
()
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
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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