OrganizationActive
Mainline Health Systems, Inc
NPI 1326586173 · Federally Qualified Health Center (FQHC) · Lake Village, AR
Provider details
- NPI number
- 1326586173
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gary Nichols, Ceo(870) 942-3000
Specialties & taxonomies
Ambulatory Health Care Facilities
- Dental Clinic/Center261QD0000X
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
360a W Highway 82
Lake Village, AR 71653-7501
Phone: (870) 201-2127
Fax: (888) 671-8943
Street-level locationGet directions
Mailing address
342 Highway 425 S
Monticello, AR 71655-4612
Other names (DBA / former)
- Doing business as
- Lakeside Dental
Registry dates
- Enumerated
- 2017-02-01
- Last updated
- 2026-03-23
- Certified
- 2026-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.