# ACCESS MEDICAL CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548017601
- **Authorized official:** MONYA YORK (CONTROLLER)
- **Authorized official phone:** (870) 856-1202

## Contact information

- **Practice address:** 40 ELMO DR, CROSSVILLE, TN 38555-4807
- **Practice address phone:** (931) 484-5525
- **Mailing address:** 4196 HIGHWAY 62 412 STE A, HARDY, AR 72542-8002
- **Mailing address phone:** (870) 856-1202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/06/2024
- **Last updated:** 12/04/2024