Provider Demographics
NPI:1003143496
Name:ACCESS MEDICAL MANAGEMENT, INC.
Entity Type:Organization
Organization Name:ACCESS MEDICAL MANAGEMENT, INC.
Other - Org Name:ENSURE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:YANCON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-720-9702
Mailing Address - Street 1:3408 MILLER RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49001-4111
Mailing Address - Country:US
Mailing Address - Phone:269-720-9702
Mailing Address - Fax:269-350-5030
Practice Address - Street 1:3408 MILLER RD
Practice Address - Street 2:SUITE 301
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49001-4111
Practice Address - Country:US
Practice Address - Phone:269-720-9702
Practice Address - Fax:269-350-5030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-05
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Single Specialty