Organization · Type 2 NPI
Mainline Health Systems, Inc
Federally Qualified Health Center (FQHC) · Dermott, AR
NPI number
1417064890
Active
Practice location
300 S School St
Dermott, AR 71638-2127
Fax (870) 538-9701
Mailing address
PO Box 509
Dermott, AR 71638-0509
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center | 261QD0000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
9 other providers at this address
- Charlie J. CruceFamily Nurse Practitioner Dermott, AR NPI 1962044800
- Courtney Keller, PharmDPharmacist Dermott, AR NPI 1619572195
- Courtney Shay Johnson, CNPFamily Nurse Practitioner Dermott, AR NPI 1386026359
- Dana Shea Phillips, FNP-BCFamily Nurse Practitioner Dermott, AR NPI 1659710879
- Gary Dalton, DDSGeneral Practice Dentistry Dermott, AR NPI 1003021692
- Katelan Welch, APRNFamily Nurse Practitioner Dermott, AR NPI 1730630849
- Kimberly Weeks, CNPFamily Nurse Practitioner Dermott, AR NPI 1205315637
- Shenika Jackson-King, APRNFamily Nurse Practitioner Dermott, AR NPI 1669886552
- Terri Ann Eubanks, DDSGeneral Practice Dentistry Dermott, AR NPI 1306960737
Other federally qualified health center (fqhc) providers in Dermott
About NPI 1417064890
Mainline Health Systems, Inc's National Provider Identifier is 1417064890, issued on Aug 23, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Dermott, AR. The record was last updated on Jul 10, 2024.