Provider Demographics
NPI:1386826485
Name:ACCESS HEALTHCARE, LLC
Entity Type:Organization
Organization Name:ACCESS HEALTHCARE, LLC
Other - Org Name:EASY ACCESS HEALTHCARE MEDICAL CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:T
Authorized Official - Last Name:SKOWRONSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:501-371-0582
Mailing Address - Street 1:PO BOX 20128
Mailing Address - Street 2:
Mailing Address - City:WHITE HALL
Mailing Address - State:AR
Mailing Address - Zip Code:71612-0128
Mailing Address - Country:US
Mailing Address - Phone:870-536-3279
Mailing Address - Fax:870-536-3283
Practice Address - Street 1:2302 W 28TH AVE STE A
Practice Address - Street 2:STE A
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71603-5081
Practice Address - Country:US
Practice Address - Phone:870-536-3279
Practice Address - Fax:870-536-3283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-29
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty