MAINLINE HEALTH SYSTEMS INC NPI 1215700265

NPI Information

  • NPI: 1215700265
  • Provider Name: MAINLINE HEALTH SYSTEMS INC
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • :
  • CLIA Number: 04D2284817
  • Address: 803 N WALNUT ST RM 214
    WARREN, AR
    ZIP 71671
  • Phone: (870) 226-6754

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NPI Details

MAINLINE HEALTH SYSTEMS INC is a federally qualified health center (fqhc) clinic center in Warren, AR. MAINLINE HEALTH SYSTEMS INC NPI is 1215700265. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

803 N WALNUT ST RM 214
WARREN, AR
ZIP 71671-008
Phone: (870) 226-6754
Fax: (870) 226-7925

The provider's authorized official is Gary Allan Nichols .
The authorized official title is Ceo and has the following contact phone number (870) 942-3000.

The CLIA number assigned to this NPI record is 04D2284817 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2023 and was last updated on 5/15/2025.

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
1103TB0200XPsychologistCognitive & BehavioralNo
2261QF0400XClinic/CenterFederally 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: 11/21/2025

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