Mainline Health Systems, INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Dermott, AR. Organization (NPI-2).
NPI number1891245809
StatusActive
Last updated in NPPESMar 20, 2026
Details
- NPI
- 1891245809
- Entity type
- Organization (NPI-2)
- Legal business name
- Mainline Health Systems, INC
- Organization subpart
- No
- Enumeration date
- Oct 13, 2016
- Certification date
- Mar 20, 2026
- Last updated
- Mar 20, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
| 261QD0000X | Clinic/Center, Dental | – | – |
Other names
- Dermott School Dental Clinic (Doing Business As)
Practice location
525 E Speedway StDermott, AR 71638-2322
Phone 870-277-2658 · Fax 855-811-4203
Mailing address
342 Highway 425 SMonticello, AR 71655-4612
Phone 870-942-3000 · Fax 870-942-3005
Authorized official
Gary Allan Nichols
Ceo
8709423000
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Federally Qualified Health Center (FQHC) providers in Dermott, AR
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.