ACCESS MEDICAL CLINIC ARKANSAS LLC NPI 1407375595

NPI Information

NPI: 1407375595
Provider Name: ACCESS MEDICAL CLINIC ARKANSAS LLC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 04D2137818

Address:
1713 W MAIN ST
HEBER SPRINGS, AR
ZIP 72543
Phone: (501) 365-2628
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ACCESS MEDICAL CLINIC ARKANSAS LLC is a rural health clinic center in Heber Springs, AR. ACCESS MEDICAL CLINIC ARKANSAS LLC NPI is 1407375595. The provider is registered as an organization entity type.

The provider's business location address is:

1713 W MAIN ST
HEBER SPRINGS, AR
ZIP 72543
Phone: (501) 365-2628
Fax: (870) 895-2164

The provider's authorized official is Bradley Ray Bibb .
The authorized official title is Ceo and has the following contact phone number (870) 856-1202.

The CLIA number assigned to this NPI record is 04D2137818 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/11/2017 and was last updated on 9/14/2020.

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
1	261QR1300X	Clinic/Center	Rural Health			Yes

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: 11/14/2023

NPI Synchronization or Removal

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