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Mainline Health Systems, Inc
Federally Qualified Health Center (FQHC) in Dermott, Arkansas
NPI 1669401501

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 1669401501 and holds a License No. 261QF0400X (Arkansas).

The current practice location address for Mainline Health Systems, Inc is 134 South Strickland St, Dermott, AR and can be reached out via phone at 870-538-5414 and via fax at 870-538-5412.

Location: 134 South Strickland St, Dermott, AR, 71638-0509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669401501
Provider Name
Mainline Health Systems, Inc
Credential
Provider Entity Type
Organization
Address
134 South Strickland St, Dermott, AR, 71638-0509
Phone Number
870-538-5414
Fax Number
870-538-5412
Provider Enumeration Date
07/02/2006
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
117615749 05 AR
122649741 05 AR
institution
Provider Business Practice Location Address Details
Address
134 South Strickland St
City
Dermott
State
Arkansas
Zip
71638
Phone Number
870-538-5414
Fax Number
870-538-5412
person
Provider Business Mailing Address Details
Address
134 South Strickland St
City
Dermott
State
Arkansas
Zip
71638
Phone Number
870-538-5414
Fax Number
870-538-5412
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
261QF0400X (Arkansas)
Definition
Definition to come...
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