NPIMap

Organization Active NPI

Access Medical Clinic LLC

  • Rural Health Clinic/Center
  • Big Spring, TX
National Provider Identifier
1972294213
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ACCESS MEDICAL CLINIC LLC
Practice address
1700 W FM 700 Ste a
Big Spring, TX 79720-4120
Phone
(432) 264-1900
NPI assigned
May 17, 2023
Last updated
Jan 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Pediatrics Physician 208000000X NU
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

1700 W FM 700 Ste a
Big Spring, TX 79720-4120

Mailing address

4196 Highway 62 412 Ste a
Hardy, AR 72542-8002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230721003178 TX Part A Provider - Rural Health Clinic 1951721802 Practice locations: Big Spring, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972294213. Details of each certification follow.

Rural health clinic certification: CCN 678920

Legal name
ACCESS MEDICAL CLINIC LLC
Doing business as
ACCESS MEDICAL CLINIC TEXAS
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 20, 2023
Last certification
Sep 20, 2023
Ownership / control type
1A
Organization structure
LLCProprietary
Incorporated
Jun 12, 2020 in TN
Enrollment address
1700 W FM 700
Ste a
Big Spring, TX 79720-4120

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Access Medical Clinic11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1700 W FM 700
Ste A
Big Spring, TX 79720
Phone (432) 264-1900

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Howard Freeman Individual Corporate DirectorSVP of Clinic Division May 20, 2026
W-2 Managing EmployeeAd; May 20, 2026
Operational/Managerial ControlSVP of Clinic Division May 20, 2026
Mark Hahn Individual 5% Or Greater Direct Ownership InterestDO May 8, 2025 100%
Corporate OfficerMedical Director May 8, 2025
Tony D James Individual Corporate OfficerCfo May 20, 2026
W-2 Managing EmployeeAd; May 20, 2026
Jared Clifford Individual Corporate OfficerCeo May 8, 2025
W-2 Managing EmployeeAd; May 20, 2026
Monya York Individual Corporate Director Jun 12, 2020
W-2 Managing Employee Jun 12, 2020
Operational/Managerial Control Jun 12, 2020
Randi L Davis Individual Corporate DirectorSr Director Clinic Operations May 20, 2026
W-2 Managing EmployeeAd; May 8, 2025
Operational/Managerial ControlSr Director Clinic Operations May 20, 2026
Kasey Crawford Individual Corporate DirectorDirector Clinic Operations May 20, 2026
W-2 Managing EmployeeAd; May 20, 2026
Operational/Managerial ControlDirector Clinic Operations May 20, 2026

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Randi L Davis, APRN
    • Family Nurse Practitioner
    • Bay, AR
    • NPI 1740622497

    Corporate Director, Operational/Managerial Control, W-2 Managing Employee

    CMS ownership
  • Mark S Hahn, DO
    • Family Medicine Physician
    • Caraway, AR
    • NPI 1609895911

    5% Or Greater Direct Ownership Interest, Corporate Officer

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1972294213",
    "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": "1700 W FM 700 STE A",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797204120",
            "telephone_number": "432-264-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "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": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Spring, TX

Sources for this page

Verify at the official NPI Registry.