Access Medical Clinic Arkansas Llc | |
409 Woodruff St Bradley AR 71826-8715 | |
(479) 388-0446 | |
Not Available |
Full Name | Access Medical Clinic Arkansas Llc |
---|---|
Speciality | Clinic/Center |
Location | 409 Woodruff St, Bradley, Arkansas |
Authorized Official Name and Position | Monya York (CONTROLLER) |
Authorized Official Contact | 8708561202 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Access Medical Clinic Arkansas Llc 4196 Highway 62 412 Ste A Hardy AR 72542-8002 Ph: () - | Access Medical Clinic Arkansas Llc 409 Woodruff St Bradley AR 71826-8715 Ph: (479) 388-0446 |
NPI Number | 1477330439 |
---|---|
Provider Enumeration Date | 09/13/2023 |
Last Update Date | 07/26/2024 |
Medicare PECOS PAC ID | 5890077093 |
---|---|
Medicare Enrollment ID | O20231130002375 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477330439 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |