| Access Medical Clinic Arkansas Ltc Llc | |
|
1016 North Fourche Avenue Perryville AR 72126 | |
| (501) 238-1284 | |
| Not Available |
| Full Name | Access Medical Clinic Arkansas Ltc Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1016 North Fourche Avenue, Perryville, 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 101 W Main St Hardy AR 72542-9566 Ph: (573) 718-2570 | Access Medical Clinic Arkansas Ltc Llc 1016 North Fourche Avenue Perryville AR 72126 Ph: (501) 238-1284 |
| NPI Number | 1124539648 |
|---|---|
| Provider Enumeration Date | 10/24/2017 |
| Last Update Date | 10/31/2023 |
| Medicare PECOS PAC ID | 0547618175 |
|---|---|
| Medicare Enrollment ID | O20231204002547 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124539648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Baptist Health Family Clinic- Perryville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 518 N Fourche Ave, Perryville, AR 72126 Phone: 501-889-5543 Fax: 501-889-5546 |