ACCESS MEDICAL CLINIC ARKANSAS LLC NPI 1609391911

Clinic/Center (Rural Health) in Marshall, AR

NPI 1609391911 Organization Clinic/Center Rural Health CLIA Number 04D2136262 CLIA Certificate of Waiver

About ACCESS MEDICAL CLINIC ARKANSAS LLC

Access Medical Clinic Arkansas Llc is a primary care provider established in Marshall, Arkansas specializing in clinic/center (rural health) . The NPI number of Access Medical Clinic Arkansas Llc is 1609391911 and was assigned on August 2017. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Bradley Ray Bibb Md (Ceo)

A primary care provider (PCP) like Access Medical Clinic Arkansas Llc 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 Arkansas Llc is 04D2136262 registered as a "rural health clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Access Medical Clinic Arkansas Llc 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

1609391911

Provider NameACCESS MEDICAL CLINIC ARKANSAS LLC
Provider Location Address942 HIGHWAY 65 N MARSHALL, AR 72650
Provider Mailing Address4196 HIGHWAY 62 412 STE A HARDY, AR 72542
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date08-08-2017
Last Update Date09-14-2020


Primary Taxonomy

Taxonomy Code261QR1300X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationRural Health

Business Address

ACCESS MEDICAL CLINIC ARKANSAS LLC
942 HIGHWAY 65 N
MARSHALL, AR
ZIP 72650
Phone: (888) 518-1418
Fax: (870) 994-2164

Get Directions


Mailing Address

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



Secondary Locations

942 Highway 65 N
Marshall, AR 72650
(888) 518-1418

Authorized Official

Authorized Official Name BRADLEY RAY BIBB MD
Authorized Official TitleCEO
Authorized Official Phone(870) 895-1202

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 1609391911 is:

CLIA Number04D2136262
Facility TypeRURAL HEALTH CLINIC
Certificate TypeCertificate of Waiver

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316583461 ELI NOAH JACKSON PA-C
Individual
Physician Assistant (Medical)942 HIGHWAY 65 N
MARSHALL, AR 72650
(888) 518-1418
1306125018SEARCY SNF OPERATIONS LLC
Organization
Skilled Nursing Facility942 HIGHWAY 65 N
MARSHALL, AR 72650
(870) 448-3577

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.