NPI: 1396383758
Provider Name: MAINLINE HEALTH SYSTEMS INC
Doing Business As: MAINLINE HEALTH SYSTEMS, INC- WARREN 2
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization
Specialization: Federally Qualified Health Center (FQHC)
Address:
1012 E CHURCH ST STE B
WARREN, AR
ZIP 71671
Phone: (870) 226-6754
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MAINLINE HEALTH SYSTEMS INC is a federally qualified health center (fqhc) clinic center in Warren, AR. MAINLINE HEALTH SYSTEMS INC NPI is 1396383758. The provider is registered as an organization entity type.
The provider Is Doing Business As Mainline Health Systems, Inc- Warren 2.
The provider's business location address is:
1012 E CHURCH ST STE B
WARREN, AR
ZIP 71671-530
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) 538-5414.
The enumeration date for this NPI number is 12/17/2019 and was last updated on 12/31/2019.