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Mainline Health Systems, Inc
Federally Qualified Health Center (FQHC) in Lake Village, Arkansas
NPI 1508303124

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 1508303124 and holds a License No. (Arkansas).

The current practice location address for Mainline Health Systems, Inc is 360 A Highway 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 Highway 82, Lake Village, AR, 71638-0509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508303124
Provider Name
Mainline Health Systems, Inc
Credential
Provider Entity Type
Organization
Address
360 A Highway 82, Lake Village, AR, 71638-0509
Phone Number
870-201-2127
Fax Number
888-671-8943
Provider Enumeration Date
01/20/2017
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
223565749 05 AR
institution
Provider Business Practice Location Address Details
Address
360 A Highway 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 Highway 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
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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