Mainline Health Systems, INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Eudora, AR. Organization (NPI-2).
NPI number1619082724
StatusActive
Last updated in NPPESMar 23, 2026
Details
- NPI
- 1619082724
- Entity type
- Organization (NPI-2)
- Legal business name
- Mainline Health Systems, INC
- Organization subpart
- No
- Enumeration date
- Aug 20, 2006
- Certification date
- Mar 23, 2026
- Last updated
- Mar 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
| 103TB0200X | Psychologist, Cognitive & Behavioral | – | – |
Other names
- Eudora Medical Clinic (Doing Business As)
Practice location
579 E Beouff StEudora, AR 71640-3090
Phone 870-355-2512 · Fax 855-754-0598
Mailing address
342 Highway 425 SMonticello, AR 71655-4612
Phone 870-942-3000 · Fax 870-942-3005
Authorized official
Gary Allan Nichols
Ceo
8709423000
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