ACCESS MEDICAL CLINIC ARKANSAS LLC NPI 1700377520

NPI Information

ACCESS MEDICAL CLINIC ARKANSAS LLC is a rural health clinic center in West Fork, AR. ACCESS MEDICAL CLINIC ARKANSAS LLC NPI is 1700377520. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

451 PHILLIPS ST
WEST FORK, AR
ZIP 72774
Phone: (479) 294-6085
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) 994-7301.

The CLIA number assigned to this NPI record is 04D2150007 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/29/2018 and was last updated on 3/15/2021.

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:

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