Organization
MAINLINE HEALTH SYSTEMS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELYSE KNOBLOCH CPA (CHIEF FINANCIAL OFFICER)
(870) 942-3000
Entity
Organization
Contact information
Practice address
700 MAIN ST, RISON, AR 71665-9563
(870) 325-6255
(870) 325-6117
Mailing address
342 HIGHWAY 425 S, MONTICELLO, AR 71655-4612
(870) 942-3000
(870) 942-3005
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/15/2025
Last updated
05/18/2026
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