Provider Demographics
NPI:1073799359
Name:ACCESS HEALTH CENTER INC
Entity Type:Organization
Organization Name:ACCESS HEALTH CENTER INC
Other - Org Name:ACCESS CHIROPRACTIC HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCELRATH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-629-8444
Mailing Address - Street 1:795 CRESTVIEW CIR NW
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33948-2126
Mailing Address - Country:US
Mailing Address - Phone:941-629-8444
Mailing Address - Fax:941-629-9513
Practice Address - Street 1:795 CRESTVIEW CIR NW
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33948-2126
Practice Address - Country:US
Practice Address - Phone:941-629-8444
Practice Address - Fax:941-629-9513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-16
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0004243111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCJ0987OtherRAILROAD MEDICARE
FL21195OtherBCBS GROUP
FL21195Medicare PIN