Access Medical Clinic Arkansas LLC
Clinic/Center, Rural Health in Forrest City, AR. Organization (NPI-2).
NPI number1104538388
StatusActive
Last updated in NPPESOct 23, 2023
Details
- NPI
- 1104538388
- Entity type
- Organization (NPI-2)
- Legal business name
- Access Medical Clinic Arkansas LLC
- Organization subpart
- No
- Enumeration date
- Dec 19, 2022
- Certification date
- Oct 23, 2023
- Last updated
- Oct 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR1300X | Clinic/Center, Rural Health | – | – | Yes |
| 207Q00000X | Family Medicine | – | – |
Practice location
1220 N Washington StForrest City, AR 72335-2121
Phone 870-594-6001 · Fax 501-823-3623
Mailing address
4196 Highway 62 412Hardy, AR 72542-8002
Authorized official
Monya York
Controller
8708561202
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