| Access Medical Clinic Arkansas Llc | |
|
704 Main Ave Dierks AR 71833-8942 | |
| (870) 455-1172 | |
| (870) 895-2164 |
| Full Name | Access Medical Clinic Arkansas Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 704 Main Ave, Dierks, Arkansas |
| Authorized Official Name and Position | Monya York (COMPTROLLER) |
| 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 704 Main Ave Dierks AR 71833-8942 Ph: (870) 455-1172 |
| NPI Number | 1295317295 |
|---|---|
| Provider Enumeration Date | 04/28/2021 |
| Last Update Date | 05/26/2022 |
| Medicare PECOS PAC ID | 5890077093 |
|---|---|
| Medicare Enrollment ID | O20210521001203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295317295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Lansdell Family Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1124 Main Ave, Dierks, AR 71833 Phone: 870-286-2128 Fax: 870-286-2148 |