NPI 1508303124

Mainline Health Systems, INC

Organisation Federally Qualified Health Center (FQHC) Lake Village, AR

Practice location

Address: 360a W Highway 82, Lake Village, AR 71653-7501
Phone: (870) 201-2127
Fax: (888) 671-8943
Mailing address: 342 Highway 425 S, Monticello, AR 71655-4612

Authorised official

Name: Gary Allan Nichols
Title: Ceo
Phone: (870) 942-3000

Registered specialties (2)

Federally Qualified Health Center (FQHC) Primary

Ambulatory Health Care Facilities Taxonomy 261QF0400X

Other Clinic/Center providers in Arkansas →

Cognitive & Behavioral Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TB0200X

Other Psychologist providers in Arkansas →

Registry record

NPI: 1508303124
Entity type: Organization
NPI issued: 20 Jan 2017
Record last updated: 23 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.