Organization
MAINLINE HEALTH SYSTEMS, INC
Active
Other names
MAINLINE HEALTH MAGNOLIA CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ELYSE KNOBLOCH (CHIEF FINANCIAL OFFICER)
(870) 538-5412
Entity
Organization
Contact information
Practice address
1617 N WASHINGTON ST STE 1, MAGNOLIA, AR 71753-2046
(501) 451-4110
Mailing address
342 HIGHWAY 425 S, MONTICELLO, AR 71655-4612
(870) 942-3000
(870) 942-3005
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/24/2025
Last updated
05/15/2026
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