ACCESS MEDICAL CLINIC ARKANSAS LLC (NPI# 1609370519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609370519 |
| Entity Type | Organization |
| Organization Name | ACCESS MEDICAL CLINIC ARKANSAS LLC |
| Practice Address |
405 W 16th St Hope AR 71801 |
| Mailing Address |
49 Highway 62 412 Ash Flat AR 72513-9594 |
| Practice Telephone | 8707770007 |
| Practice Fax Number | 8708952164 |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2020-02-03 |
| Authorized Official Name | BRADLEY RAY BIBB (CEO) |
| Authorized Official Telephone | 8709947301 |
| Is Organization Subpart | Y |
| Parent Organization Name | ACCESS MEDICAL CLINIC ARKANSAS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 405 W 16th St, Hope, AR 718017104 | 8709947301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417563321 | Access Medical Clinic Arkansas LLC | Family Medicine | 444 Taylor Circle, Cave City, AR 72521 | 2020-09-17 |
| 1346869419 | Access Medical Clinic Arkansas LLC | Family Medicine | 9798 Highway 62 W, Viola, AR 72583-6001 | 2020-04-09 |
| 1265065064 | Access Medical Clinic Arkansas LLC | Family Medicine | 1010 N Center St, Lonoke, AR 72086 | 2020-02-20 |
| 1164913984 | Access Medical Clinic Arkansas LLC | Family Medicine | 9217 N Hwy 59, Cedarville, AR 72932-9621 | 2018-05-29 |
| 1700377520 | Access Medical Clinic Arkansas LLC | Family Medicine | 451 Phillips St, West Fork, AR 72774 | 2018-05-29 |
| 1508360413 | Access Medical Clinic Arkansas LLC | Family Medicine | 810 S Rock St, Sheridan, AR 72150-7066 | 2018-03-23 |
| 1124539648 | Access Medical Clinic Arkansas LLC | Clinic/Center | 1016 North Fourche Avenue, Perryville, AR 72126 | 2017-10-24 |
| 1144755570 | Access Medical Clinic Arkansas LLC | Clinic/Center | 16723 Hwy 62, Garfield, AR 72732 | 2017-04-24 |
| 1124657713 | Access Medical Clinic Arkansas LLC | Family Medicine | 106 Highway 62 W, Salem, AR 72576-8059 | 2020-04-06 |
| 1639702731 | Access Medical Clinic Arkansas LLC | Family Medicine | 1308 E Page Ave, Malvern, AR 72104-4518 | 2020-02-17 |
| Street Address |
405 W 16TH ST |
| City | HOPE |
| State | AR |
| Zip Code | 71801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780688309 | Ronald Craig Davis | Specialist | 405 W 16th St, Ste B, Hope, AR 71801-7104 | 2005-06-10 |
| 1770051666 | Megan Cowling | Physician Assistant | 405 W 16th St, Hope, AR 71801-7104 | 2018-11-08 |
| 1811222839 | Southwest Medical Advisors Inc | Clinic/Center | 405 W 16th St, Suite B, Hope, AR 71801-7104 | 2009-10-08 |
| 1679744437 | William C Coffee Od | Optometrist | 405 W 16th St, Hope, AR 71801-7104 | 2008-03-19 |
| 1235120106 | William C Coffee | Optometrist | 405 W 16th St, Hope, AR 71801-7104 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528524956 | Yasmin Morgan Lpc | Counselor | 1806 N. Spruce St, Hope, AR 71801 | 2019-02-11 |
| 1205318169 | Dewayne Bonner | Case Manager/Care Coordinator | 1401 S. Main St, Hope, AR 71801 | 2018-09-06 |
| 1194207118 | Cassie Gonzales | Case Manager/Care Coordinator | 1401 S. Main Street, Hope, AR 71801 | 2018-09-06 |
| 1912457136 | Stacy Davis | Occupational Therapist | 510 Hempstead 173w, Hope, AR 71801 | 2016-10-12 |
| 1114386976 | Elizabeth Kay Henley | Specialist | 5180 Hemstead 3, Hope, AR 71801 | 2016-02-22 |
| 1053783894 | Kourtney Smith | Pharmacist | 1004 Commerce Blvd, Hope, AR 71801 | 2015-10-20 |
| 1154705382 | Jason Otis Moore | Case Manager/Care Coordinator | 500 W. Ave E St., Hope, AR 71801 | 2015-07-17 |
| 1700284163 | Cox Family Practice | Preferred Provider Organization | 2015 Main Street, Hope, AR 71801 | 2014-12-16 |
| 1932512068 | Gregory Alan Davis | Counselor | 802 E 3rd St, Hope, AR 71801 | 2014-06-05 |
| 1821420688 | Callie Brooke Gilbey | Speech-Language Pathologist | 249 Hempstead 243, Hope, AR 71801 | 2013-08-05 |
| Find all providers in zip 71801 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518214337 | Brim Holding Company, Inc. | Clinic/Center | 302 Bill Clinton Dr, Hope, AR 71801-8661 | 2012-08-10 |
| 1821039769 | Signature Medical Park Hospital L L C | Clinic/Center | 302 E 20th St, Hope, AR 71801-8217 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634738 | Mississippi County Hospital System | Clinic/Center | 1521 N 10th St Ste G, Blytheville, AR 72315-1424 | 2020-09-18 |
| 1962015859 | Lansdell Family Clinic Pllc | Clinic/Center | 1124 Main Ave, Dierks, AR 71833-9421 | 2020-08-28 |
| 1154945483 | Sgoh Acquisition Inc | Clinic/Center | 102 Russell Road, Rogers, AR 72756 | 2020-06-02 |
| 1710465190 | Arcare | Clinic/Center | 3150 E. Heritage Parkway, Farmington, AR 72753 | 2018-07-30 |
| 1043716525 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 733 Roberts Drive, Monticello, AR 71655 | 2018-04-03 |
| 1316443807 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 1306 North Lincoln Avenue, Star City, AR 71667 | 2018-04-03 |
| 1124539648 | Access Medical Clinic Arkansas LLC | Clinic/Center | 1016 North Fourche Avenue, Perryville, AR 72126 | 2017-10-24 |
| 1174044697 | Bradley County Medical Center Rural Health Clinic | Clinic/Center | 304 East Central, Warren, AR 71671-0000 | 2017-07-06 |
| 1144755570 | Access Medical Clinic Arkansas LLC | Clinic/Center | 16723 Hwy 62, Garfield, AR 72732 | 2017-04-24 |
| 1568904480 | Bradley Bibb, Md Pllc | Clinic/Center | 1176 State Highway 22 W Ste B, Dardanelle, AR 72834 | 2016-11-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.