| Mainline Health Systems, Inc | |
|
1205 E Dixon Rd Little Rock AR 72206-4171 | |
| (501) 234-2022 | |
| (501) 588-2780 |
| Full Name | Mainline Health Systems, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1205 E Dixon Rd, Little Rock, Arkansas |
| Authorized Official Name and Position | Elyse Knobloch (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8705383355 |
| 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) 538-5414 | Mainline Health Systems, Inc 1205 E Dixon Rd Little Rock AR 72206-4171 Ph: (501) 234-2022 |
| NPI Number | 1164264834 |
|---|---|
| Provider Enumeration Date | 06/12/2024 |
| Last Update Date | 06/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164264834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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