# ACCESS MEDICAL CLINIC ARKANSAS LTC LLC

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

## Provider details

- **NPI number:** 1639702731
- **Authorized official:** MONYA YORK (CONTROLLER)
- **Authorized official phone:** (870) 856-1202

## Contact information

- **Practice address:** 1308 E PAGE AVE, MALVERN, AR 72104-4518
- **Practice address phone:** (501) 337-9820
- **Practice address fax:** (870) 895-2164
- **Mailing address:** 4196 HIGHWAY 62 412, HARDY, AR 72542-8002
- **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:** 02/17/2020
- **Last updated:** 01/08/2024