Organization
MAINLINE HEALTH SYSTEMS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY ALLAN NICHOLS (CEO)
(870) 942-3000
Entity
Organization
Contact information
Practice address
233 N MAIN ST, PORTLAND, AR 71663-9230
(870) 737-2221
(855) 878-5991
Mailing address
PO BOX 509, DERMOTT, AR 71638-0509
(870) 942-3000
(870) 538-5412
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
02/10/2026
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