MAINLINE HEALTH SYSTEMS INC NPI 1306753975

NPI Information

  • NPI: 1306753975
  • Provider Name: MAINLINE HEALTH SYSTEMS, INC
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Address: 612 E ARKANSAS ST
    STAR CITY, AR
    ZIP 71667
  • Phone: (870) 628-5110

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NPI Details

MAINLINE HEALTH SYSTEMS, INC is a federally qualified health center (fqhc) clinic center in Star City, AR. MAINLINE HEALTH SYSTEMS, INC NPI is 1306753975. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

612 E ARKANSAS ST
STAR CITY, AR
ZIP 71667-842
Phone: (870) 628-5110
Fax: (855) 854-6281

The provider's authorized official is Elyse Knobloch .
The authorized official title is Chief Financial Officer and has the following contact phone number (870) 538-5412.

The enumeration date for this NPI number is 8/27/2026 and was last updated on 8/27/2026.

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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