| Access Medical Clinic Arkansas Llc | |
|
871 E Heritage Parkway Prairie Grove AR 72753 | |
| (479) 487-2001 | |
| (870) 895-2164 |
| Full Name | Access Medical Clinic Arkansas Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 871 E Heritage Parkway, Prairie Grove, 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 871 E Heritage Parkway Prairie Grove AR 72753 Ph: (479) 487-2001 |
| NPI Number | 1770203184 |
|---|---|
| Provider Enumeration Date | 08/29/2022 |
| Last Update Date | 05/11/2023 |
| Medicare PECOS PAC ID | 5890077093 |
|---|---|
| Medicare Enrollment ID | O20221226000103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770203184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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