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MAINLINE DERMOTT DENTAL CLINIC
NPI 1417064890
Clinic/Center - Federally Qualified Health Center (FQHC) in Dermott, AR

Active since August 23, 2006
300 S SCHOOL ST, DERMOTT, AR 71638(870) 538-9720(870) 538-9701 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2024, Aug 30, 2022, Nov 19, 2018 (3 updates tracked since 2018).

About Mainline Dermott Dental Clinic NPPES

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

MAINLINE DERMOTT DENTAL CLINIC (NPI 1417064890) is a healthcare organization registered as a federally qualified health center (fqhc) in Dermott, Arkansas and active in the NPI registry since August 2006. The organization lists Gary Allan Nichols, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417064890
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMAINLINE HEALTH SYSTEMS, INC
Location Address300 S SCHOOL STDermott, AR 71638-2127
Mailing AddressPo Box 509Dermott, AR 71638-0509 · (870) 942-3000 · Fax (870) 538-5412
Phone(870) 538-9720
Fax(870) 538-9701
Organization SubpartNo
Authorized OfficialGary Allan NicholsCeo · (870) 942-3000
Enumeration DateAugust 23, 2006
Last NPPES UpdateJuly 10, 20243 updates tracked since enumeration
NPPES CertifiedJuly 10, 2024
✔ NPI 1417064890 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 ListedClinic/Center · DentalTaxonomy 261QD0000X
300 S SCHOOL ST, Dermott, AR 71638
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Other Names 1

Doing Business AsMainline Dermott Dental Clinic

Other Identifiers 1

Medicaid152991631AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 10

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

DR. GARY DALTON DDS
Dentist (General Practice)
300 S SCHOOL ST
DERMOTT, AR 71638
Chicot County (870) 538-9720
KIMBERLY WEEKS CNP
Nurse Practitioner (Family)
300 S SCHOOL ST
DERMOTT, AR 71638
Chicot County (870) 538-5296
DR. TERRI ANN EUBANKS DDS
Dentist (General Practice)
300 S SCHOOL ST
DERMOTT, AR 71638
Chicot County (870) 538-9720
COURTNEY SHAY JOHNSON CNP
Nurse Practitioner (Family)
300 S SCHOOL ST
DERMOTT, AR 71638
Chicot County (870) 538-5296
MAINLINE HEALTH SYSTEMS INC
Clinic/Center (Federally Qualified Health Center (FQHC))
300 S SCHOOL ST
DERMOTT, AR 71638
Chicot County (870) 538-5296
COURTNEY KELLER PHARMD
Pharmacist
300 S SCHOOL ST
DERMOTT, AR 71638
Chicot County (870) 538-5414
MRS. DANA SHEA PHILLIPS FNP-BC
Nurse Practitioner (Family)
300 S SCHOOL ST
DERMOTT, AR 71638
Chicot County (870) 538-5296
SHENIKA JACKSON-KING APRN
Nurse Practitioner (Family)
300 S SCHOOL ST
DERMOTT, AR 71638
Chicot County (870) 538-5296

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 1417064890. It was assigned to this organization in the NPPES registry on August 23, 2006. The provider is doing business as Mainline Dermott Dental Clinic.

Where is Mainline Health Systems, Inc located?

Mainline Health Systems, Inc is located at 300 S School St, Dermott, AR 71638. The listed phone number is (870) 538-9720.

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.

What insurance does Mainline Health Systems, Inc accept?

Health plans from UnitedHealthcare 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 July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.