Jimmy Brown Dental
LBN: Mainline Health Systems, Inc.
Jimmy Brown Dental is an health care organization with primary practice located at 310 Ashley St. , Star City AR 71667. 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 (650) 419-2545, or through Nichols, Gary Allan via phone (870) 942-3000.
Contact Information
Primary practice address
310 Ashley St.
Star City AR 71667
Phone: (650) 419-2545
Fax: (855) 854-6281
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 | 1609379346 |
|---|---|
| LBN Legal business name | Mainline Health Systems, Inc. |
| DBA Doing business as | Jimmy Brown Dental |
| Authorized official | Nichols, Gary Allan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 8th, 2018 |
| 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 | 1609379346 | NPPES |
| Arkansas | MEDICAID | 226030631 |
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