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MAINLINE HEALTH SYSTEMS INC
NPI 1205163540
Clinic/Center - Federally Qualified Health Center (FQHC) in Monticello, AR

Active since November 06, 2009CLIA 04D2008883 · Accreditation
535 JORDAN DR, MONTICELLO, AR 71655(870) 367-6246(855) 926-7383 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 23, 2026, May 15, 2025, Sep 19, 2024 and 3 more (6 updates tracked since 2019).

About Mainline Health Systems Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAINLINE HEALTH SYSTEMS INC (NPI 1205163540), doing business as Monticello Community Health Center, is a healthcare organization registered as a federally qualified health center (fqhc) in Monticello, Arkansas and active in the NPI registry since November 2009. The organization holds an CLIA Accreditation certificate valid through March 6, 2028 and lists Gary Allan Nichols, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205163540
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMAINLINE HEALTH SYSTEMS INC
Location Address535 JORDAN DRMonticello, AR 71655-5714
Mailing Address342 Highway 425 SMonticello, AR 71655-4612 · (870) 942-3000 · Fax (870) 942-3005
Phone(870) 367-6246
Fax(855) 926-7383
Organization SubpartNo
Authorized OfficialGary Allan NicholsCeo · (870) 942-3000
Enumeration DateNovember 6, 2009
Last NPPES UpdateMarch 23, 20266 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1205163540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X
535 JORDAN DR, Monticello, AR 71655
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Other Names 1

Doing Business AsMonticello Community Health Center

Other Identifiers 1

Medicaid183197749AR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 04D2008883

Mainline Health Systems Monticello · Monticello, AR
Active · expires Mar 6, 2028
CLIA Number04D2008883
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 7, 2026
Certificate Expiration DateMarch 6, 2028
Laboratory DirectorDr. Kerry F. Pennington
Laboratory Phone(870) 367-6246
Laboratory LocationMainline Health Systems Monticello535 Jordan Drive, Monticello, AR 71655
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 04D2188464

Mainline Health Systems-Uam · Monticello, AR
Expired · Jul 16, 2026
CLIA Number04D2188464
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 17, 2024
Certificate Expiration DateJuly 16, 2026
Laboratory DirectorApril J. Wynne
Laboratory Phone(870) 367-6246
Laboratory LocationMainline Health Systems-Uam136 University Court Maxwell Hall, Monticello, AR 71655
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. REBECCA SHEA WOODALL LMSW
Social Worker
535 JORDAN DR
MONTICELLO, AR 71655
Drew County (870) 367-6246
MRS. JAIME B HARVEY MS, LAC
Counselor (Professional)
535 JORDAN DR
MONTICELLO, AR 71655
Drew County (870) 367-6246
MAINLINE PHARMACY SERVICES INC
Pharmacy (Long Term Care Pharmacy)
535 JORDAN DR
MONTICELLO, AR 71655
Drew County (870) 224-0651
KELLY DEAN SHRUM DO
Obstetrics & Gynecology
535 JORDAN DR
MONTICELLO, AR 71655
Drew County (870) 367-6246
JANE Y PELKKI RDN
Nutritionist (Nutrition, Education)
535 JORDAN DR
MONTICELLO, AR 71655
Drew County (870) 367-6246
MRS. LEIA DAWN O'FALLON ANP
Nurse Practitioner (Obstetrics & Gynecology)
535 JORDAN DR
MONTICELLO, AR 71655
Drew County (870) 367-6246
HANNAH A HILTON
Nurse Practitioner
535 JORDAN DR
MONTICELLO, AR 71655
Drew County (870) 367-6246
KATY BROWN PLMSW
Social Worker
535 JORDAN DR
MONTICELLO, AR 71655
Drew County (870) 367-6246

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mainline Health Systems Inc's NPI number?

The NPI number for Mainline Health Systems Inc is 1205163540. It was assigned to this organization in the NPPES registry on November 6, 2009. The provider is doing business as Monticello Community Health Center.

Where is Mainline Health Systems Inc located?

Mainline Health Systems Inc is located at 535 Jordan Dr, Monticello, AR 71655. The listed phone number is (870) 367-6246.

What is Mainline Health Systems Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Mainline Health Systems Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 04D2008883) is associated with this NPI, valid through March 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mainline Health Systems Inc accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Mainline Health Systems Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mainline Health Systems Inc was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.