| Access Medical Clinic Arkansas Ltc Llc | |
|
1308 E Page Ave Malvern AR 72104-4518 | |
| (501) 337-9820 | |
| (870) 895-2164 |
| Full Name | Access Medical Clinic Arkansas Ltc Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1308 E Page Ave, Malvern, 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 Ltc Llc 4196 Highway 62 412 Hardy AR 72542-8002 Ph: () - | Access Medical Clinic Arkansas Ltc Llc 1308 E Page Ave Malvern AR 72104-4518 Ph: (501) 337-9820 |
| NPI Number | 1639702731 |
|---|---|
| Provider Enumeration Date | 02/17/2020 |
| Last Update Date | 01/08/2024 |
| Medicare PECOS PAC ID | 0547618175 |
|---|---|
| Medicare Enrollment ID | O20231127002644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639702731 | 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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