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ACCESS MEDICAL CLINIC LLC

Details

Name: ACCESS MEDICAL CLINIC LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 12 Jun 2020 (4 years ago)
Entity Number: 001-080-536
Register Number: 001080536
County: Chambers
Place of Formation: Tennessee
Principal Address: 2318 SUMMIT OAKS COVEJonesboro, AR 72404
Registered Office Street Address: 4900 20th AvenueValley, AL 36854
Registered Office Street Address ZIP Code: 36854

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912696923 2023-05-04 2024-03-26 4196 HIGHWAY 62 412 STE A, HARDY, AR, 725428002, US 4900 20TH AVE, VALLEY, AL, 368543549, US

Contacts

Phone +1 334-756-5137

Authorized person

Name MONYA YORK
Role CONTROLLER
Phone 8708561202

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary No
Taxonomy Code 208000000X - Pediatrics Physician
Is Primary No
Taxonomy Code 261QR1300X - Rural Health Clinic/Center
Is Primary Yes

Agent

Name Role
CARTWRIGHT, CANDICE Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State