MAINLINE HEALTH SYSTEMS, INC (NPI# 1790140564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790140564 |
| Entity Type | Organization |
| Organization Name | MAINLINE HEALTH SYSTEMS, INC |
| Other Organization Name | WILMOT ELEMENTARY CLINIC |
| Practice Address |
2764 Hwy 165 S Wilmot AR 71676 |
| Mailing Address |
Po Box 509 Dermott AR 71638-0509 |
| Practice Telephone | 8705385414 |
| Practice Fax Number | 8705385412 |
| Mailing Telephone | 8705385414 |
| Mailing Fax Number | 8705385412 |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2015-12-22 |
| Authorized Official Name | TAFTA MCCAIN (CFO) |
| 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 |
|---|---|
| Wilmot Elementary 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 |
| 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 |
2764 HWY 165 S |
| City | WILMOT |
| State | AR |
| Zip Code | 71676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952314262 | Michael D Mcdaniels | Dentist | 203 Mccomb St, Wilmot, AR 71676 | 2006-08-15 |
| 1952405524 | Mainline Health Systems, Inc | Clinic/Center | 203 Mccomb St, Wilmot, AR 71676 | 2006-09-12 |
| 1891809547 | Mainline Health Systems Inc | Clinic/Center | 203 Mccomb St, Wilmot, AR 71676 | 2006-08-19 |
| 1447263751 | Frederick N Burt | General Practice | 203 Mccomb St, Wilmot, AR 71676 | 2006-08-15 |
| 1235653692 | Dustin Tyler Strickland | Nurse Practitioner | 203 Mccombs St, Wilmot, AR 71676-8800 | 2017-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801361894 | Venessa Schrader | Licensed Practical Nurse | 211 Massillon St, Wilmot, OH 44689-9618 | 2018-10-05 |
| 1699014910 | Amber Marie Herr | Physical Therapy Assistant | 501 4th St., Wilmot, SD 57279 | 2013-02-06 |
| 1093019739 | Donald Ralph Single | Emergency Medicine | 16 Mountain Overlook, Wilmot, NH 03287 | 2011-01-10 |
| 1639358500 | Wilmot Union High School District | Local Education Agency (LEA) | 11112 308th Ave, Wilmot, WI 53192 | 2007-10-29 |
| 1255527594 | Wilmot School District 54-7 | Local Education Agency (LEA) | 800 Ordway St, Wilmot, SD 57279 | 2007-09-20 |
| 1568537942 | Genter Healthcare, Inc. | Respiratory Therapist, Certified | 28 Ridgewood Common, Wilmot, NH 03287 | 2006-11-21 |
| 1558305201 | Wilmot Fire & Rescue, Inc. | Ambulance | 204 Mill Street, Wilmot, OH 44689 | 2006-06-15 |
| 1447215207 | Susan Leddy | Nurse Practitioner | 409 4th St, Wilmot, SD 57279-2214 | 2006-04-17 |
| 1770586604 | Wilmot Care Center | Skilled Nursing Facility | 501 4th St, Wilmot, SD 57279-2232 | 2005-05-24 |
| 1700925153 | Coteau Des Prairies Hospital, Inc | Clinic/Center | 409 4th St, Wilmot, SD 57279-2214 | 2007-02-05 |
| Find all providers in WILMOT | ||||
| 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 |
|---|---|---|---|---|
| 1891809547 | Mainline Health Systems Inc | Clinic/Center | 203 Mccomb St, Wilmot, AR 71676 | 2006-08-19 |
| 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.