Organization · NPI-2
Access Medical Clinic Arkansas LLC
Clinic/Center, Rural Health · Mena, AR
NPI number1407576812
StatusActive
Last updated in NPPESMay 11, 2023
Details
- NPI
- 1407576812
- Entity type
- Organization (NPI-2)
- Legal business name
- Access Medical Clinic Arkansas LLC
- Organization subpart
- No
- Enumeration date
- Aug 29, 2022
- Certification date
- May 11, 2023
- Last updated
- May 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR1300X | Clinic/Center, Rural Health | – | – | Yes |
| 207Q00000X | Family Medicine | – | – |
Practice location
1805 Highway 71 SouthMena, AR 71953
Phone 479-385-2826 · Fax 870-895-2164
Mailing address
4196 Highway 62 412Hardy, AR 72542-8002
Authorized official
Monya York
Controller
8708561202
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