Mainline Health Systems Inc in Portland - Federally Qualified Health Center (fqhc)

Mainline Health Systems Inc - NPI 1316106388

Mainline Health Systems Inc is a Federally Qualified Health Center (fqhc) in Portland, Arkansas. Mainline Health Systems Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Mainline Health Systems Inc is 1316106388. The last update date is 2022-08-30.

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 CFO
Authorized Official Name Nichols Allan Gary
Telephone Number 8705385414

NPI Number Detail

NPI Number 1316106388
Provider Enumeration Date 2008-06-05
Last Updated Date 2022-08-30

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 Federally Qualified Health Center (fqhc)
Taxonomy 261Qf0400X
Definition:
Provides primary and preventive care services in underserved areas, receiving certain federal funding grants.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
117615749 AR --

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FAQs about Mainline Health Systems Inc

What is the unique 10-digit identification code assigned to Mainline Health Systems Inc by the Centers for Medicare & Medicaid Services?

The Mainline Health Systems Inc has been issued the NPI (National Provider Identifier) 1316106388, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Mainline Health Systems Inc is physically located?

The Mainline Health Systems Inc is physically situated at the following address: Po Box 100, Portland, AR, 716630100.

What is Mainline Health Systems Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Mainline Health Systems Inc is Federally Qualified Health Center (fqhc), and the taxonomy classification code that categorizes this area of expertise is 261Qf0400X.

On what date did the Mainline Health Systems Inc receive its 1316106388 assignment from the Centers for Medicare & Medicaid Services?

The Mainline Health Systems Inc was assigned its 1316106388 by the Centers for Medicare & Medicaid Services on 2008-06-05.

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 2022-08-30.

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