Star City Community Health Center

LBN: Mainline Health Systems, Inc
Star City Community Health Center is an health care organization with primary practice located at 110 N Drew , Star City AR 71667. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Mainline Health Systems, Inc can be contacted via phone (870) 628-5110, or through Nichols, Gary A via phone (870) 942-3000.

Contact Information

Primary practice address
110 N Drew Star City AR 71667
Phone: (870) 628-5110
Fax: (870) 628-5949
Website:
Map and Directions
Authorized official contact:
Name: Nichols, Gary A
Phone: (870) 942-3000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1154757920
LBN Legal business name Mainline Health Systems, Inc
DBA Doing business as Star City Community Health Center
Authorized official Nichols, Gary A
Entity Organization
Organization subpart 1 No
Enumeration date Sep 24th, 2013
Last updated Jul 18th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154757920 NPPES
Arkansas MEDICAID 204977749

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