NPI 1548949852

Mainline Health Systems, INC

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

Practice location

Address: 2729 US 65, Lake Village, AR 71653
Phone: (870) 466-4987
Fax: (855) 926-7383
Mailing address: 342 Highway 425 S, Monticello, AR 71655-4612

Authorised official

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

Registered specialties

Federally Qualified Health Center (FQHC) Primary

Ambulatory Health Care Facilities Taxonomy 261QF0400X

Other Clinic/Center providers in Arkansas →

Registry record

NPI: 1548949852
Entity type: Organization
NPI issued: 13 Jul 2023
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.