Lakeside School
LBN: Mainline Health Systems, Inc
Lakeside School is an health care organization with primary practice located at 360 A Hwy 82 , Lake Village AR 71653. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Mainline Health Systems, Inc can be contacted via phone (870) 201-2127, or through Nichols, Gary Allan via phone (870) 942-3000.
Contact Information
Primary practice address
360 A Hwy 82
Lake Village AR 71653
Phone: (870) 201-2127
Fax: (888) 671-8943
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Dental | 261QD0000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1326586173 |
|---|---|
| LBN Legal business name | Mainline Health Systems, Inc |
| DBA Doing business as | Lakeside School |
| Authorized official | Nichols, Gary Allan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 1st, 2017 |
| Last updated | Jul 11th, 2024 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326586173 | NPPES |
| Arkansas | MEDICAID | 226028631 |
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