|Provider Name||ACCESS MEDICAL CLINIC (ACCESS MEDICAL CLINIC ARKANSAS LLC)|
|Provider Location Address||444 TAYLOR CIRCLE CAVE CITY, AR 72521|
|Provider Mailing Address||4196 HIGHWAY 62 412 STE A HARDY, AR 72542|
|NPI Entity Type||Organization|
|Is Sole Proprietor?||N/A|
|Is Organization Subpart?||No|
|Other Organization Name||ACCESS MEDICAL CLINIC|
|Other Name Type||Doing Business As (3)|
|Last Update Date||04-30-2021|
ACCESS MEDICAL CLINIC
444 TAYLOR CIRCLE
CAVE CITY, AR
Phone: (870) 376-2844
Fax: (870) 895-2164
ACCESS MEDICAL CLINIC
4196 HIGHWAY 62 412 STE A
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1417563321 is:
|Facility Type||PHYSICIAN OFFICE|
|Certificate Type||Certificate of Waiver|
193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.