# AMC MEDICAL CLINIC I LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** AMC MEDICAL CLINIC LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295368587
- **Authorized official:** MONYA YORK (DIRECTOR CREDENTIALING)
- **Authorized official phone:** (870) 856-1202

## Contact information

- **Practice address:** 218 N MAIN ST, EUFAULA, OK 74432-1633
- **Practice address phone:** (918) 689-7705
- **Practice address fax:** (855) 860-5341
- **Mailing address:** 4196 HIGHWAY 62 412 STE A, HARDY, AR 72542-8002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/15/2020
- **Last updated:** 12/17/2024