Organization · NPI-2
Access Medical Clinic Arkansas LLC
Clinic/Center, Rural Health · Clarksville, AR
NPI number1265127591
StatusActive
Last updated in NPPESJul 23, 2024
Details
- NPI
- 1265127591
- Entity type
- Organization (NPI-2)
- Legal business name
- Access Medical Clinic Arkansas LLC
- Organization subpart
- No
- Enumeration date
- Apr 11, 2023
- Certification date
- Jul 23, 2024
- Last updated
- Jul 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR1300X | Clinic/Center, Rural Health | – | – | Yes |
| 207Q00000X | Family Medicine | – | – |
Practice location
409 S Rogers StClarksville, AR 72830-3743
Phone 479-746-7090 · Fax 479-476-7091
Mailing address
4196 Highway 62 412 Ste AHardy, AR 72542-8002
Phone 870-856-1202
Authorized official
Monya York
Controller
8708561202
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.