ACCESS MEDICAL CLINIC (ACCESS MEDICAL CLINIC ARKANSAS LLC) NPI 1417563321

Family Medicine in Cave City, AR

NPI 1417563321 Organization Family Medicine CLIA Number 34D2249504 CLIA Certificate of Waiver

About ACCESS MEDICAL CLINIC (ACCESS MEDICAL CLINIC ARKANSAS LLC)

Access Medical Clinic (access Medical Clinic Arkansas Llc) is a primary care provider established in Cave City, Arkansas specializing in family medicine. The NPI number of Access Medical Clinic (access Medical Clinic Arkansas Llc) is 1417563321 and was assigned on September 2020. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Access Medical Clinic (access Medical Clinic Arkansas Llc) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Access Medical Clinic. The authorized official of this NPI record is Bradley Ray Bibb Md (Ceo)

A primary care provider (PCP) like Access Medical Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

The CLIA number of Access Medical Clinic is 34D2249504 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Access Medical Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1417563321

Provider NameACCESS MEDICAL CLINIC (ACCESS MEDICAL CLINIC ARKANSAS LLC)
Provider Location Address444 TAYLOR CIRCLE CAVE CITY, AR 72521
Provider Mailing Address4196 HIGHWAY 62 412 STE A HARDY, AR 72542
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameACCESS MEDICAL CLINIC
Other Name TypeDoing Business As (3)
Enumeration Date09-17-2020
Last Update Date04-30-2021


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

ACCESS MEDICAL CLINIC
444 TAYLOR CIRCLE
CAVE CITY, AR
ZIP 72521
Phone: (870) 376-2844
Fax: (870) 895-2164

Get Directions


Mailing Address

ACCESS MEDICAL CLINIC
4196 HIGHWAY 62 412 STE A
HARDY, AR
ZIP 72542
Phone:



Authorized Official

Authorized Official Name BRADLEY RAY BIBB MD
Authorized Official TitleCEO
Authorized Official Phone(870) 856-1202

CLIA Information

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:

CLIA Number34D2249504
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Group Taxonomy


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.

NPI Footnotes

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.