MAINLINE HEALTH SYSTEMS INC NPI 1861156481

NPI Information

NPI: 1861156481
Provider Name: MAINLINE HEALTH SYSTEMS INC

Doing Business As: MAINLINE UAM MEDICAL CLINIC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
136 UNIVERSITY CT
MONTICELLO, AR
ZIP 71655
Phone: (870) 367-6241
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MAINLINE HEALTH SYSTEMS INC is a federally qualified health center (fqhc) clinic center in Monticello, AR. MAINLINE HEALTH SYSTEMS INC NPI is 1861156481. The provider is registered as an organization entity type.
The provider Is Doing Business As Mainline Uam Medical Clinic.

The provider's business location address is:

136 UNIVERSITY CT
MONTICELLO, AR
ZIP 71655
Phone: (870) 367-6241
Fax: (855) 926-7383

The provider's authorized official is Tafta Mccain .
The authorized official title is Cfo and has the following contact phone number (870) 538-5414.

The enumeration date for this NPI number is 10/29/2021 and was last updated on 10/29/2021.

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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