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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
PO BOX 509, DERMOTT, AR 71638-0509
(870) 942-3000
(870) 538-5412

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
02/10/2026
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