| Mainline Health Systems, Inc. | |
|
206 S 1st St Mc Gehee AR 71654-2339 | |
| (870) 367-6246 | |
| (855) 754-0598 |
| Full Name | Mainline Health Systems, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 206 S 1st St, Mc Gehee, Arkansas |
| Authorized Official Name and Position | Tafta Mccain (CFO) |
| Authorized Official Contact | 8705385414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mainline Health Systems, Inc. Po Box 509 Dermott AR 71638-0509 Ph: (870) 538-5414 | Mainline Health Systems, Inc. 206 S 1st St Mc Gehee AR 71654-2339 Ph: (870) 367-6246 |
| NPI Number | 1588356232 |
|---|---|
| Provider Enumeration Date | 05/22/2023 |
| Last Update Date | 06/05/2023 |
| Medicare PECOS PAC ID | 5193785590 |
|---|---|
| Medicare Enrollment ID | O20230705003198 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588356232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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