MAINLINE HEALTH SYSTEMS INC NPI 1104574219

NPI Information

NPI: 1104574219
Provider Name: MAINLINE HEALTH SYSTEMS INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
506 LITTLE CREEK CUT OFF RD
SHERIDAN, AR
ZIP 72150
Phone: (870) 942-3000
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MAINLINE HEALTH SYSTEMS INC is a federally qualified health center (fqhc) clinic center in Sheridan, AR. MAINLINE HEALTH SYSTEMS INC NPI is 1104574219. The provider is registered as an organization entity type.

The provider's business location address is:

506 LITTLE CREEK CUT OFF RD
SHERIDAN, AR
ZIP 72150-798
Phone: (870) 942-3000
Fax: (870) 942-3005

The provider's authorized official is Tafta Mccain .
The authorized official title is Cfo and has the following contact phone number (870) 538-5414.

The enumeration date for this NPI number is 3/17/2022 and was last updated on 3/17/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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