MAINLINE HEALTH SYSTEMS INC NPI 1295277010

NPI Information

NPI: 1295277010
Provider Name: MAINLINE HEALTH SYSTEMS, INC

Doing Business As: STAR CITY HIGH SCHOOL

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
400 E ARKANSAS ST RM E3
STAR CITY, AR
ZIP 71667
Phone: (650) 419-2810
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MAINLINE HEALTH SYSTEMS, INC is a federally qualified health center (fqhc) clinic center in Star City, AR. MAINLINE HEALTH SYSTEMS, INC NPI is 1295277010. The provider is registered as an organization entity type.
The provider Is Doing Business As Star City High School.

The provider's business location address is:

400 E ARKANSAS ST RM E3
STAR CITY, AR
ZIP 71667-821
Phone: (650) 419-2810
Fax: (870) 538-5412

The provider's authorized official is Gary A Nichols .
The authorized official title is Executive Director and has the following contact phone number (870) 538-5414.

The enumeration date for this NPI number is 11/10/2016 and was last updated on 1/22/2024.

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: 4/28/2024

NPI Synchronization or Removal

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