Mainline Health Systems Inc
LBN: Star City Community Dental
Mainline Health Systems Inc is an health care organization with primary practice located at 557 Kirkwood Rd , Star City AR 71667-8843. 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.
Star City Community Dental can be contacted via phone (870) 628-5110, or through Nichols, Gary Allan via phone (870) 942-3000.
Contact Information
Primary practice address
557 Kirkwood Rd
Star City AR 71667-8843
Phone: (870) 628-5110
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 | 1649679051 |
|---|---|
| LBN Legal business name | Star City Community Dental |
| DBA Doing business as | Mainline Health Systems Inc |
| Authorized official | Nichols, Gary Allan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 21st, 2014 |
| Last updated | Jul 10th, 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 | 1649679051 | NPPES |
| Arkansas | MEDICAID | 205925631 |
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