ACCESS MEDICAL CLINIC ARKANSAS LTC LLC NPI 1114578929

NPI Information

  • NPI: 1114578929
  • Provider Name: ACCESS MEDICAL CLINIC ARKANSAS LTC LLC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • CLIA Number: 04D2147011
  • Address: 106 N VAN BUREN ST
    WEINER, AR
    ZIP 72479
  • Phone: (870) 605-0014

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NPI Details

ACCESS MEDICAL CLINIC ARKANSAS LTC LLC is a rural health clinic center in Weiner, AR. ACCESS MEDICAL CLINIC ARKANSAS LTC LLC NPI is 1114578929. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

106 N VAN BUREN ST
WEINER, AR
ZIP 72479-289
Phone: (870) 605-0014
Fax: (870) 895-2164

The provider's authorized official is Monya York .
The authorized official title is Controller and has the following contact phone number (870) 856-1202.

The CLIA number assigned to this NPI record is 04D2147011 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/23/2019 and was last updated on 10/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2261QR1300XClinic/CenterRural HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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