Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice |
| NPI Number | 1396440756 |
| LBN Legal business name | ACCESS MEDICAL CLINIC LLC |
| Authorized official | MONYA YORK - (CONTROLLER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/04/2023 |
| Last updated | 04/05/2024 - About 2 years ago |
| Identifiers | n/a |
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