MAINLINE HEALTH SYSTEMS INC (NPI# 1205163540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205163540 |
| Entity Type | Organization |
| Organization Name | MAINLINE HEALTH SYSTEMS INC |
| Other Organization Name | MONTICELLO COMMUNITY HEALTH CENTER |
| Practice Address |
535 Jordan Dr Monticello AR 71655-5714 |
| Mailing Address |
Po Box 509 Dermott AR 71638-0509 |
| Practice Telephone | 8703676246 |
| Practice Fax Number | 8559267383 |
| Mailing Telephone | 8705385414 |
| Mailing Fax Number | 8705385412 |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2019-08-02 |
| Authorized Official Name | MRS. TINA MEEK (INS COPPRDINATOR) |
| Authorized Official Telephone | 8705385414 |
| Authorized Official Credential | RMC |
| 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 |
|---|---|
| MONTICELLO COMMUNITY HEALTH CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396383758 | Mainline Health Systems Inc | Clinic/Center | 1012 E Church St Ste B, Warren, AR 71671-3530 | 2019-12-17 |
| 1386758043 | Mainline Health Systems Inc | Clinic/Center | 300 S School St, Dermott, AR 71638-2228 | 2006-08-19 |
| 1316106388 | Mainline Health Systems Inc | Clinic/Center | 233 N Main St, Portland, AR 71663 | 2008-06-05 |
| 1891809547 | Mainline Health Systems Inc | Clinic/Center | 203 Mccomb St, Wilmot, AR 71676 | 2006-08-19 |
| Street Address |
535 JORDAN DR |
| City | MONTICELLO |
| State | AR |
| Zip Code | 71655-5714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487290961 | Hannah A Hilton | Nurse Practitioner | 535 Jordan Dr, Monticello, AR 71655-5714 | 2019-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104462712 | Ashley Leanna Huitt | Nurse Practitioner | Drew Memorial Health System, 778 Scogin Drive, Monticello, AR 71655 | 2019-11-19 |
| 1043716525 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 733 Roberts Drive, Monticello, AR 71655 | 2018-04-03 |
| 1760991640 | Kristen Leigh Harvey | Registered Nurse | 162 University Heights Drive, Monticello, AR 71655 | 2017-09-24 |
| 1124578075 | Morgan Family Dentistry, Pllc | Dentist | 501 Hwy 425 South, Monticello, AR 71655 | 2016-10-04 |
| 1770039752 | Jesse Bone | Nurse Practitioner | 766 Hl Ross Drive, Monticello, AR 71655 | 2016-08-30 |
| 1487050076 | Sara Tucker | Speech-Language Pathologist | 178 W. College Street, Monticello, AR 71655 | 2014-11-10 |
| 1164859203 | Dustin Clint Eubanks | Chiropractor | 604 A West Bolling Street, Monticello, AR 71655 | 2013-10-03 |
| 1194009431 | Rebecca Shea Woodall | Social Worker | 600 Highway 425 North, Suite B, Monticello, AR 71655 | 2011-10-05 |
| 1568744522 | Britney Leigh Box | Occupational Therapist | 178 W College St, Monticello, AR 71655 | 2011-09-15 |
| 1740415611 | Julia Danielle Nicholson | Family Medicine | 906 Roberts Drive, Monticello, AR 71655 | 2009-05-21 |
| Find all providers in zip 71655 | ||||
| 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 |
|---|---|---|---|---|
| 1659890150 | Mainline Health Systems, Inc | Clinic/Center | 250 University Dr, Monticello, AR 71655-8891 | 2017-09-15 |
| 1487037941 | Cumberland Family Medical Center, Inc. | Clinic/Center | 160 Cave St, Monticello, KY 42633-1412 | 2015-07-02 |
| 1093731234 | Family Health Care Clinic, Inc. | Clinic/Center | 430 Highway 84 West, Monticello, MS 39654 | 2006-07-14 |
| 1073063418 | Cumberland Family Medical Center, Inc. | Clinic/Center | 39 Jim Hill Service Rd, Monticello, KY 42633-7900 | 2016-10-10 |
| 1376091363 | Oda Primary Health Care Network, Inc. | Clinic/Center | 60 Jefferson St, Suite 1, Monticello, NY 12701-1122 | 2016-09-19 |
| 1669855128 | Cumberland Family Medical Center, Inc. | Clinic/Center | 2 Kenny Davis Blvd, Monticello, KY 42633-9479 | 2015-07-02 |
| 1295118750 | Cumberland Family Medical Center, Inc. | Clinic/Center | 1080 S Main St, Monticello, KY 42633-2762 | 2015-07-02 |
| 1578946034 | Cumberland Family Medical Center, Inc. | Clinic/Center | 95 Champion Dr, Monticello, KY 42633-5364 | 2015-07-02 |
| 1649652579 | Cumberland Family Medical Center, Inc. | Clinic/Center | 278 Kenny Davis Blvd, Monticello, KY 42633-9479 | 2015-06-27 |
| 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 | ||||
| City | MONTICELLO |
| Zip Code | 71655 |
Please comment or provide details below to improve the information on MAINLINE HEALTH SYSTEMS INC.
| 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.