Provider Demographics
NPI:1083807226
Name:ACCESS HEALTH MANAGEMENT INC
Entity Type:Organization
Organization Name:ACCESS HEALTH MANAGEMENT INC
Other - Org Name:BACK & NECK PAIN RELIEF CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-336-2225
Mailing Address - Street 1:1710 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47404-5028
Mailing Address - Country:US
Mailing Address - Phone:812-336-2225
Mailing Address - Fax:812-336-5123
Practice Address - Street 1:1710 W 3RD ST
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47404-5028
Practice Address - Country:US
Practice Address - Phone:812-336-2225
Practice Address - Fax:812-336-5123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08000961A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200005510Medicaid
IN200005510Medicaid