# ACCESS MEDICAL CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Access Medical Clinic Indiana
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396440756
- **Authorized official:** MONYA YORK (CONTROLLER)
- **Authorized official phone:** (870) 856-1202

## Contact information

- **Practice address:** 1146 N CASS ST STE 1146-C, WABASH, IN 46992-1081
- **Practice address phone:** (765) 307-7146
- **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 | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/04/2023
- **Last updated:** 04/05/2024