MAINLINE HEALTH SYSTEMS, INC (NPI# 1124565213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124565213 |
| Entity Type | Organization |
| Organization Name | MAINLINE HEALTH SYSTEMS, INC |
| Other Organization Name | JIMMY BROWN ELEMENTARY |
| Practice Address |
310 Ashley St Star City AR 71667 |
| Mailing Address |
Po Box 509 Dermott AR 71638-0509 |
| Practice Telephone | 6504192545 |
| Practice Fax Number | 8705385412 |
| Mailing Telephone | 8705385414 |
| Mailing Fax Number | 8705385412 |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2018-03-19 |
| Authorized Official Name | GARY ALLAN NICHOLS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8705385414 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Jimmy Brown Elementary | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659890150 | Mainline Health Systems, Inc | Clinic/Center | 250 University Dr, Monticello, AR 71655-8891 | 2017-09-15 |
| 1326586173 | Mainline Health Systems, Inc | Clinic/Center | 360 A Hwy 82, Lake Village, AR 71653 | 2017-02-01 |
| 1619415460 | Mainline Health Systems, Inc | Clinic/Center | 566 S Mabry St, Eudora, AR 71640-2941 | 2017-02-01 |
| 1508303124 | Mainline Health Systems, Inc | Clinic/Center | 360 A Highway 82, Lake Village, AR 71653 | 2017-01-20 |
| 1891245809 | Mainline Health Systems, Inc | Clinic/Center | 525 E Speedway St, Dermott, AR 71638-2322 | 2016-10-13 |
| 1649636986 | Mainline Health Systems, Inc | Clinic/Center | 314 Highway 160 E, Portland, AR 71663-9262 | 2015-12-31 |
| 1790140564 | Mainline Health Systems, Inc | Clinic/Center | 2764 Hwy 165 S, Wilmot, AR 71676 | 2015-12-22 |
| 1962518795 | Mainline Health Systems, Inc | Clinic/Center | 127 Hickory St, Fountain Hill, AR 71642 | 2006-08-22 |
| 1619082724 | Mainline Health Systems, Inc | Clinic/Center | 579 E Beouff St, Eudora, AR 71640-3090 | 2006-08-20 |
| 1669401501 | Mainline Health Systems, Inc | Clinic/Center | 134 South Strickland St, Dermott, AR 71638 | 2006-07-02 |
| Street Address |
310 ASHLEY ST |
| City | STAR CITY |
| State | AR |
| Zip Code | 71667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316557143 | Christie Abella | Specialist/Technologist | 2006 Goodfellow Road, Star City, AR 71667 | 2020-08-06 |
| 1982193975 | Monticello Medical Clinic, Plc | Family Medicine | 1306 N. Lincoln Avenue, Star City, AR 71667 | 2018-05-04 |
| 1316443807 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 1306 North Lincoln Avenue, Star City, AR 71667 | 2018-04-03 |
| 1609379346 | Mainline Health Systems, Inc. | Clinic/Center | 310 Ashley St., Star City, AR 71667 | 2018-03-08 |
| 1801105424 | Tammy Renee White | Pharmacist | 1309 North Lincoln Ave, Star City, AR 71667 | 2010-09-30 |
| 1356598783 | Patrick Keith Numan | Counselor | 301 N. Oak St, Star City, AR 71667 | 2008-08-27 |
| 1568669844 | Jeri Lou Farabough | Speech-Language Pathologist | Bradley Street, Star City, AR 71667 | 2007-06-29 |
| 1396768636 | Barbara Diane Weaver | Social Worker | 110 N Drew, Star City, AR 71667 | 2006-07-26 |
| 1336184431 | University of Arkansas for Medical Sciences | Family Medicine | 203 S Jefferson St, Star City, AR 71667 | 2006-06-20 |
| 1023587524 | Amanda H Kelley | Social Worker | 110 N Drew St, Star City, AR 71667 | 2018-11-14 |
| Find all providers in zip 71667 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295277010 | Mainline Health Systems, Inc | Clinic/Center | 206 Cleveland St, Star City, AR 71667-5218 | 2016-11-10 |
| 1154757920 | Mainline Health Systems, Inc | Clinic/Center | 110 N Drew, Star City, AR 71667 | 2013-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962014316 | Healthy Connections, Inc. | Clinic/Center | 1306 W Collin Raye Dr Ste B, De Queen, AR 71832-2502 | 2020-08-18 |
| 1982221065 | Arcare | Clinic/Center | 7300 Dollarway Rd Ste 116, White Hall, AR 71602-3023 | 2020-07-06 |
| 1669099073 | St Francis House Nwa, Inc | Clinic/Center | 1923 W Pickens Road, Pea Ridge, AR 72751 | 2020-07-01 |
| 1427674696 | Arcare | Clinic/Center | 11520 Sr 27, Hector, AR 72843-8710 | 2020-06-23 |
| 1487280384 | Arcare | Clinic/Center | 2805 Mid Cities Dr Ste 1, Bentonville, AR 72712-4291 | 2020-03-23 |
| 1073144028 | Arcare | Clinic/Center | 145 N Curtis Ave, Pea Ridge, AR 72751-3407 | 2020-01-29 |
| 1396383758 | Mainline Health Systems Inc | Clinic/Center | 1012 E Church St Ste B, Warren, AR 71671-3530 | 2019-12-17 |
| 1275177883 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 1201 North Panther Ave # 3, Yellville, AR 72687 | 2019-11-06 |
| 1649814138 | St Francis House Nwa, Inc | Clinic/Center | 2328 Cardinal Drive, Springdale, AR 72764-4469 | 2019-10-29 |
| 1104469832 | Arcare | Clinic/Center | 501 Millwood Cir Ste E, Maumelle, AR 72113-6304 | 2019-10-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.