| Mainline Health Systems, Inc | |
|
700 Main St Rison AR 71665-9563 | |
| (870) 325-6255 | |
| (870) 325-6117 |
| Full Name | Mainline Health Systems, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 700 Main St, Rison, Arkansas |
| Authorized Official Name and Position | Elyse Knobloch (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8709423000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mainline Health Systems, Inc Po Box 509 Dermott AR 71638-0509 Ph: (870) 942-3000 | Mainline Health Systems, Inc 700 Main St Rison AR 71665-9563 Ph: (870) 325-6255 |
| NPI Number | 1437960929 |
|---|---|
| Provider Enumeration Date | 01/15/2025 |
| Last Update Date | 01/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437960929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |