NPIMap

Organization Active NPI

Mainline Health Systems, Inc

  • Federally Qualified Health Center (FQHC)
  • Rison, AR
National Provider Identifier
1437960929
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MAINLINE HEALTH SYSTEMS, INC
Practice address
700 Main St
Rison, AR 71665-9563
Phone
(870) 325-6255
Fax
(870) 325-6117
NPI assigned
Jan 15, 2025
Last updated
May 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elyse Knobloch, CPA
Title
Chief Financial Officer
Phone
(870) 942-3000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

700 Main St
Rison, AR 71665-9563

Mailing address

342 Highway 425 S
Monticello, AR 71655-4612
Phone (870) 942-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041011000567 AR Part B Supplier - Clinic/Group Practice 5193785590 Receives reassigned benefits from 62 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Portland, AR; Rison, AR; Sheridan, AR; Star City, AR; Star City,, AR; Warren, AR; Wilmot, AR; Eudora, AR…
O20250807002393 AR Part A Provider - Federally Qualified Health Center (FQHC) 5193785590 Practice locations: Rison, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437960929. Details of each certification follow.

Federally qualified health center certification: CCN 041084

Legal name
MAINLINE HEALTH SYSTEMS INC
Doing business as
CLEVELAND COUNTY SCHOOL DISTRICT HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 23, 2025
Last certification
Jul 23, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
700 Main St
Rison, AR 71665-9563

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

110 N Drew St
Star City, AR 71667
Phone (870) 628-5110

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ron Miller Individual OtherVice Chairman Executive Jan 1, 2009
Robert Thomas Individual OtherPersonnel Chair Executive Jan 1, 1997
Brandi Poole Individual OtherExecutive Board Recruitment Chair Jan 1, 2018
Alicia Whitaker Individual OtherChairman Executive Jan 1, 2018
Mainline Health Systems Inc Organization, Dermott, AR Corporation, Non-profit Operational/Managerial Control Aug 14, 2017 100%
Mary Hollins Scott Individual OtherExecutive Board Recruitment Jan 1, 1997
Keith Shepherd Individual OtherFinance Jan 1, 2016
Eugene Butler Individual OtherPersonnel Jan 1, 2012
Becky Philips Individual OtherTreasurer Finance Chair Executive Jan 1, 2019
Elyse Knobloch Individual Operational/Managerial ControlChief Financial Officer Aug 14, 2023
Michelle Dunbar Individual OtherBoard Recruitment Jan 1, 2012
Shanna Knowles Individual OtherBoard Member Jan 1, 2020

All facility ownership & control disclosures 25

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Monticello Community Health CenterMonticello, AR, CCN 041875 Federally qualified health center Operational/Managerial Control Jul 1, 2010
Portland Elementary ClinicPortland, AR, CCN 041917 Federally qualified health center Operational/Managerial Control (100%) Jan 11, 2016
Hamburg ElementartyHamburg, AR, CCN 041918 Federally qualified health center Operational/Managerial Control (100%) Jan 11, 2016
Mainline Health Systems IncHamburg, AR, CCN 041919 Federally qualified health center Operational/Managerial Control (100%) Jan 11, 2016
Star City Community Health CenterStar City, AR, CCN 041921 Federally qualified health center Operational/Managerial Control (100%) Dec 1, 2013
Dermott School ClinicDermott, AR, CCN 041922 Federally qualified health center Operational/Managerial Control (100%) Aug 17, 2016
Star City High School ClinicStar City, AR, CCN 041923 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 2017
Jimmy Brown ElementaryStar City, AR, CCN 041926 Federally qualified health center Operational/Managerial Control (100%) Apr 4, 2017
Eudora Elementary ClinicEudora, AR, CCN 041933 Federally qualified health center Operational/Managerial Control (100%) Apr 1, 2017
Drew Central SchoolMonticello, AR, CCN 041935 Federally qualified health center Operational/Managerial Control (100%) Aug 14, 2017
Lakeside SchoolLake Village, AR, CCN 041934 Federally qualified health center Operational/Managerial Control (100%) Mar 1, 2017
Hamburg Middle SchoolHamburg, AR, CCN 041945 Federally qualified health center Operational/Managerial Control (100%) Sep 20, 2018
Mainline Health Systems IncRison, AR, CCN 041953 Federally qualified health center Operational/Managerial Control (100%) Dec 26, 2018
Warren 2Warren, AR, CCN 041966 Federally qualified health center Operational/Managerial Control (100%) Jan 2, 2020
Mainline Health Systems IncMonticello, AR, CCN 041005 Federally qualified health center 5% Or Greater Direct Ownership Interest
5% Or Greater Security Interest
Operational/Managerial Control		 Oct 1, 2021
Oct 1, 2021
Oct 1, 2021
Mainline Uam Medical ClinicMonticello, AR, CCN 041006 Federally qualified health center 5% Or Greater Direct Ownership Interest
5% Or Greater Security Interest
Operational/Managerial Control		 Oct 1, 2021
Oct 1, 2021
Oct 1, 2021
Sheridan SchoolSheridan, AR, CCN 041008 Federally qualified health center 5% Or Greater Direct Ownership Interest
5% Or Greater Security Interest
Operational/Managerial Control		 Apr 1, 2022
Apr 1, 2022
Apr 1, 2022
Sheridan Medical ClinicSheridan, AR, CCN 041009 Federally qualified health center 5% Or Greater Direct Ownership Interest
5% Or Greater Security Interest
Operational/Managerial Control		 Apr 1, 2022
Apr 1, 2022
Apr 1, 2022
Warren Middle School BHWarren, AR, CCN 041013 Federally qualified health center 5% Or Greater Direct Ownership Interest
5% Or Greater Security Interest
Operational/Managerial Control		 Jul 13, 2022
Jul 13, 2022
Jul 13, 2022
Warren High School BH (Seabec)Warren, AR, CCN 041019 Federally qualified health center Operational/Managerial Control Aug 15, 2022
Mainline Health Systems IncWarren, AR, CCN 041025 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Aug 15, 2022
Aug 15, 2022
Brunson Elementary SchoolWarren, AR, CCN 041015 Federally qualified health center 5% Or Greater Direct Ownership Interest
5% Or Greater Security Interest
Operational/Managerial Control		 Jul 13, 2022
Jul 13, 2022
Jul 13, 2022
Sheridan East EndLittle Rock, AR, CCN 041023 Federally qualified health center 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Aug 15, 2022
Aug 15, 2022
Warren ElementaryWarren, AR, CCN 041033 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 26, 2023
Jun 26, 2023
Lake Village OB ClinicLake Village, AR, CCN 041047 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 3, 2023
Jul 3, 2023

Facilities with the same owner 25

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 25

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1437960929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 HIGHWAY 425 S",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716554612",
            "telephone_number": "870-942-3000",
            "fax_number": "870-942-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MAIN ST",
            "city": "RISON",
            "state": "AR",
            "postal_code": "716659563",
            "telephone_number": "870-325-6255",
            "fax_number": "870-325-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINLINE HEALTH SYSTEMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "KNOBLOCH",
        "authorized_official_first_name": "ELYSE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "870-942-3000",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rison, AR

Sources for this page

Verify at the official NPI Registry.