Access Medical Clinic Arkansas LLC
Clinic/Center, Rural Health in Sheridan, AR. Organization (NPI-2).
NPI number1508360413
StatusActive
Last updated in NPPESMay 26, 2022
Details
- NPI
- 1508360413
- Entity type
- Organization (NPI-2)
- Legal business name
- Access Medical Clinic Arkansas LLC
- Organization subpart
- Yes
- Enumeration date
- Mar 23, 2018
- Certification date
- May 26, 2022
- Last updated
- May 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR1300X | Clinic/Center, Rural Health | – | – | Yes |
| 207Q00000X | Family Medicine | – | – |
Practice location
810 S Rock StSheridan, AR 72150-7066
Phone 870-917-2289 · Fax 870-895-2164
Mailing address
49 Highway 62 412Ash Flat, AR 72513-9594
Phone 870-994-7301
Authorized official
Bradley Ray Bibb
Ceo
8709947301
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