MAINLINE HEALTH SYSTEMS INC. NPI 1609379346

NPI Information

NPI: 1609379346
Provider Name: MAINLINE HEALTH SYSTEMS, INC.

Doing Business As: JIMMY BROWN DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
310 ASHLEY ST.
STAR CITY, AR
ZIP 71667
Phone: (650) 419-2545
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MAINLINE HEALTH SYSTEMS, INC. is a dental clinic center in Star City, AR. MAINLINE HEALTH SYSTEMS, INC. NPI is 1609379346. The provider is registered as an organization entity type.
The provider Is Doing Business As Jimmy Brown Dental.

The provider's business location address is:

310 ASHLEY ST.
STAR CITY, AR
ZIP 71667
Phone: (650) 419-2545
Fax: (855) 854-6281

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 3/8/2018 and was last updated on 8/30/2022.

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	261QD0000X	Clinic/Center	Dental			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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