Access Medical Clinic LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

ACCESS MEDICAL CLINIC LLC

Doing business as

Access Medical Clinic Indiana

Practice address

1146 N Cass St Ste 1146-C
Wabash, IN 46992-1081

Phone

(765) 307-7146

NPI assigned

Apr 4, 2023

Last updated

Apr 5, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Monya York

Title

Controller

Phone

(870) 856-1202

Specialties & licenses 2

Addresses

Other names 1

• Access Medical Clinic Indiana Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396440756. Details of each certification follow.

• CCN 153949 Rural health clinic · Active · Name & address match · Details

Rural health clinic certification: CCN 153949

Legal name

ACCESS MEDICAL CLINIC INDIANA

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Nov 27, 2023

Last certification

Nov 27, 2023

Ownership / control type

1A

Facility address

1146 N Cass St Ste 1146-C
Wabash, IN 46992

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Access Medical Clinic LLC

  dba Access Medical Clinic Indiana

  • Rural Health Clinic/Center
  • Greensburg, IN
  • NPI 1194410720

  O20220930001534

  Same enrollment
• Access Medical Clinic LLC

  dba Access Medical Clinic Indiana

  • Rural Health Clinic/Center
  • Oakland City, IN
  • NPI 1407537137

  O20220930001534

  Same enrollment
• Access Medical Clinic LLC

  dba Access Medical Clinic

  • Rural Health Clinic/Center
  • Crawfordsville, IN
  • NPI 1831810431

  O20220930001534

  Same enrollment

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa Sue Parnin, APRN

  • Family Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1134730427
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1396440756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4196 HIGHWAY 62 412 STE A",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "725428002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 N CASS ST STE 1146-C",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921081",
            "telephone_number": "765-307-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-04",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "YORK",
        "authorized_official_first_name": "MONYA",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "870-856-1202"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Access Medical Clinic Indiana",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Access Medical Clinic Indiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• American Health Network of Indiana
• American Health Network of Indiana, LLC

• Rural Health Clinic/Center in Wabash, IN
• Providers in Wabash, IN by specialty
• Rural Health Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.