MAINLINE HEALTH SYSTEMS, INC
NPI 1659890150
Clinic/Center - Federally Qualified Health Center (FQHC) in Monticello, AR
NPI Status: Active since September 15, 2017
Contact Information
250 UNIVERSITY DR
MONTICELLO, AR
ZIP 71655
Phone: (479) 957-9685
Fax: (888) 335-9961
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- CLIA Number: 04D2136227
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 09-05-2025
About MAINLINE HEALTH SYSTEMS, INC
This page provides the complete NPI Profile along with additional information for Mainline Health Systems, Inc, a primary care provider established in Monticello, Arkansas operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1659890150 assigned on September 2017. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated May 2025. Mainline Health Systems, Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's
- NPI
- 1659890150
- Provider Legal Name
- MAINLINE HEALTH SYSTEMS, INC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 250 UNIVERSITY DR MONTICELLO, AR 71655
- Location Phone
- (479) 957-9685
- Location Fax
- (888) 335-9961
- Mailing Address
- PO BOX 509 DERMOTT, AR 71638
- Mailing Phone
- (870) 942-3000
- Mailing Fax
- (888) 335-9961
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-15-2017
- Last Update Date
- 05-15-2025
- Code Navigator
A primary care provider (PCP) like Mainline Health Systems, Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TB0200X | Behavioral Health & Social Service Providers | Psychologist | |
| 2 | 261QD0000X | Ambulatory Health Care Facilities | Clinic/Center |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 04D2136227
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- September 06, 2023
- Certificate Expiration Date
- September 05, 2025
- Laboratory Director
- DR. JAMIE EVANS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mainline Health Systems, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 5 | 9 | 8 | 9 | 0 | 1 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 10 | 9 | 16 | 9 | 0 | 1 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 0 + 9 + 1 + 6 + 9 + 0 + 1 + 1 + 0 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1659890150 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1013412303 | MRS. LAUREN BROOKE HARRIMAN MS. CFY-SLP Individual | Speech-Language Pathologist | 250 UNIVERSITY DR MONTICELLO, AR 71655 (870) 367-5369 |
| 1275975971 | CANDACE N JORDAN MS, OTR/L Individual | Occupational Therapist | 250 UNIVERSITY DR MONTICELLO, AR 71655 (870) 367-6893 |
| 1841719358 | MAINLINE HEALTH SYSTEMS, INC Organization | Clinic/Center (Dental) | 250 UNIVERSITY DR MONTICELLO, AR 71655 (479) 957-9685 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659890150, enumerated in the NPI registry as an "organization" on September 15, 2017
The provider is located at 250 University Dr Monticello, Ar 71655 and the phone number is (479) 957-9685
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)
The provider's CLIA number is 04D2136227 for a "school/student health service" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on September 15, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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