# ACCESS MEDICAL CLINIC ARKANSAS LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ACCESS MEDICAL CLINIC ARKANSAS LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104321850
- **Legal business name:** ACCESS MEDICAL CLINIC ARKANSAS LLC
- **Authorized official:** BRADLEY RAY BIBB (CEO)
- **Authorized official phone:** (870) 994-7301

## Contact information

- **Practice address:** 104 W STATE ST, CARAWAY, AR 72419
- **Practice address phone:** (870) 956-0200
- **Practice address fax:** (870) 895-2164
- **Mailing address:** 101 W MAIN ST, HARDY, AR 72542-9566
- **Mailing address phone:** (573) 718-2570
- **Mailing address fax:** (870) 856-2133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/26/2018
- **Last updated:** 02/03/2020