Mainline Health Systems, Inc in Portland - Dental
Mainline Health Systems, Inc - NPI 1952405524
Mainline Health Systems, Inc is a Dental in Portland, Arkansas. Mainline Health Systems, Inc practices all healthcare services and medical treatments related to Dental. The NPI Number for Mainline Health Systems, Inc is 1952405524. The last update date is 2020-06-11.
Mainline Health Systems, Inc's current location address is Po Box 100, Portland, Arkansas. You can contact this provider via phone number 8707372737 and fax number 8707379780. The mailing address for Mainline Health Systems, Inc is Po Box 100, Portland, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mainline Health Systems, Inc |
|---|---|
| Address | Po Box 100, Portland, Arkansas |
| Phone Number | 8707372737 |
| Fax Number | 8707379780 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Nichols Allan Gary |
| Telephone Number | 8705385414 |
NPI Number Detail
| NPI Number | 1952405524 |
|---|---|
| Provider Enumeration Date | 2006-09-12 |
| Last Updated Date | 2020-06-11 |
Provider Mailing Address Detail
| Address | Po Box 100 |
|---|---|
| City | Portland |
| State | Arkansas (AR) |
| Post Code | 716630100 |
| Phone Number | 8707372737 |
| Fax Number | 8707379780 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 112127631 | AR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mainline Health Systems, Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Mainline Health Systems, Inc has been assigned the NPI (National Provider Identifier) 1952405524. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Mainline Health Systems, Inc is located?
The Mainline Health Systems, Inc is situated at the following address: Po Box 100, Portland, AR, 716630100.
What is Mainline Health Systems, Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mainline Health Systems, Inc is Dental, and the taxonomy code that categorizes this field of expertise is 261Qd0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1952405524 to Mainline Health Systems, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1952405524 to Mainline Health Systems, Inc on 2006-09-12.
As of what date was the information pertaining to Mainline Health Systems, Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mainline Health Systems, Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-06-11.
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