ACCESS MEDICAL CLINIC ARKANSAS LLC (NPI# 1700377520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700377520 |
| Entity Type | Organization |
| Organization Name | ACCESS MEDICAL CLINIC ARKANSAS LLC |
| Practice Address |
451 Phillips St West Fork AR 72774 |
| Mailing Address |
101 W Main St Hardy AR 72542-9566 |
| Practice Telephone | 4792946085 |
| Practice Fax Number | 8708952164 |
| Mailing Fax Number | 8708562133 |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2020-02-03 |
| Authorized Official Name | BRADLEY RAY BIBB (CEO) |
| Authorized Official Telephone | 8709947301 |
| Authorized Official Credential | MD |
| 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 |
|---|---|---|
| 451 Phillips St, West Fork, AR 72774 | 8708952015 | 8708952164 |
| 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 |
| 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 |
| 1114578929 | Access Medical Clinic Arkansas LLC | Clinic/Center | 106 N Van Buren St, Weiner, AR 72479-9289 | 2019-09-23 |
| Street Address |
451 PHILLIPS ST |
| City | WEST FORK |
| State | AR |
| Zip Code | 72774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063750495 | Harps Food Stores, Inc | Pharmacy | 266 Three Dog Lane, West Fork, AR 72774 | 2013-01-18 |
| 1548405004 | Growing God's Kingdom, Inc. | Early Intervention Provider Agency | 599 N. Centennial, West Fork, AR 72774 | 2008-12-11 |
| 1609488014 | Lauren Lichty | Physical Therapist | 363 Mcknight Ave, West Fork, AZ 72774 | 2020-08-18 |
| 1750992848 | Courtney Green | Speech-Language Pathologist | 363 Mcknight Ave, West Fork, AR 72774 | 2020-08-12 |
| 1790396257 | Rachel Holland | Speech-Language Pathologist | 363 Mcknight Ave, West Fork, AR 72774 | 2020-08-10 |
| 1144708041 | Kayla J Stinnett | Speech-Language Pathologist | 363 Mcknight Ave, West Fork, AR 72774 | 2018-08-02 |
| 1699261370 | Mary Curran | Occupational Therapy Assistant | 363 Mcknight Ave, West Fork, AR 72774 | 2018-07-06 |
| 1730597733 | Kelsey Alyssa Boutilier | Speech-Language Pathologist | 363 Mcknight Ave., West Fork, AR 72774 | 2014-07-23 |
| 1386798999 | Superintendent of Elkins School District 10 | Local Education Agency (LEA) | 363 Mcknight, West Fork, AR 72774 | 2007-01-22 |
| 1023272374 | Maria Ann Ball | Occupational Therapist | 363 Mcknight Ave., West Fork, AR 72774-0000 | 2008-07-16 |
| Find all providers in zip 72774 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| 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.