MAINLINE HEALTH SYSTEMS, INC (NPI# 1619082724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619082724 |
| Entity Type | Organization |
| Organization Name | MAINLINE HEALTH SYSTEMS, INC |
| Other Organization Name | EUDORA MEDICAL CLINIC |
| Practice Address |
579 E Beouff St Eudora AR 71640-3090 |
| Mailing Address |
Po Box 100 Portland AR 71663-0100 |
| Practice Telephone | 8703552512 |
| Practice Fax Number | 8703552520 |
| Mailing Telephone | 8703552512 |
| Mailing Fax Number | 8703552520 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2008-05-22 |
| Authorized Official Name | MARY SCOTT (CFO) |
| Authorized Official Telephone | 8707372737 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 122646749 | 05 |
| Other Name | Type Code |
|---|---|
| EUDORA MEDICAL CLINIC | 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 |
| 1124565213 | Mainline Health Systems, Inc | Clinic/Center | 310 Ashley St, Star City, AR 71667 | 2017-01-26 |
| 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 |
| 1669401501 | Mainline Health Systems, Inc | Clinic/Center | 134 South Strickland St, Dermott, AR 71638 | 2006-07-02 |
| Street Address |
579 E BEOUFF ST |
| City | EUDORA |
| State | AR |
| Zip Code | 71640-3090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790137867 | Toni Stephens | Nurse Practitioner | 579 E Beouff St, Eudora, AR 71640 | 2016-07-12 |
| 1184978421 | Vunkisha Nash | Nurse Practitioner | 579 E Beouff St, Eudora, AR 71640-3090 | 2012-11-08 |
| 1952657868 | Lashelle S Harris | Nurse Practitioner | 579 E Beouff St, Eudora, AR 71640 | 2012-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003894395 | West Carroll Health Systems LLC | Clinic/Center | 200 S Main Street, Eudora, AR 71640 | 2006-01-06 |
| 1760699987 | Janet L Nelson | Speech-Language Pathologist | 408 N Cherry St, Eudora, AR 71640-2209 | 2007-05-17 |
| 1932462504 | Cbk Kids R Kids | Day Training, Developmentally Disabled Services | 1014 N Main St, Eudora, AR 71640-2251 | 2012-06-19 |
| 1134482649 | Cbk Mother Goose | Early Intervention Provider Agency | 239 Swanigan St, Eudora, AR 71640-2437 | 2012-06-19 |
| 1518214436 | Shirley Ellis | Speech-Language Pathologist | 220 N Harlem St, Eudora, AR 71640-2755 | 2012-08-09 |
| 1043828684 | Perchel Labs, LLC | Speech-Language Pathologist | 220 N Harlem St, Eudora, AR 71640-2755 | 2020-07-20 |
| 1154945301 | Perchel Labs | Speech-Language Pathologist | 220 N Harlem St, Eudora, AR 71640-2755 | 2020-06-03 |
| 1992777312 | Elite Medical Services, Inc. | Ambulance | 356 S Archer St, Eudora, AR 71640-2902 | 2006-02-02 |
| 1619415460 | Mainline Health Systems, Inc | Clinic/Center | 566 S Mabry St, Eudora, AR 71640-2941 | 2017-02-01 |
| 1134445422 | Cb King Eudora Center | Clinic/Center | 114 N Main St, Eudora, AR 71640-3037 | 2010-04-13 |
| Find all providers in zip 71640 | ||||
| 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 |
|---|---|---|---|---|
| 1619415460 | Mainline Health Systems, Inc | Clinic/Center | 566 S Mabry St, Eudora, AR 71640-2941 | 2017-02-01 |
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|---|---|---|---|---|
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| 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.