Provider Demographics
NPI:1093195075
Name:CASTLE ROCK ACCESS LLC
Entity Type:Organization
Organization Name:CASTLE ROCK ACCESS LLC
Other - Org Name:NEXT DAY ACCESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKALARS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-418-0574
Mailing Address - Street 1:460 CLEARVIEW CT
Mailing Address - Street 2:
Mailing Address - City:MOORHEAD
Mailing Address - State:MN
Mailing Address - Zip Code:56560-6800
Mailing Address - Country:US
Mailing Address - Phone:612-418-0574
Mailing Address - Fax:763-322-8858
Practice Address - Street 1:460 CLEARVIEW CT
Practice Address - Street 2:
Practice Address - City:MOORHEAD
Practice Address - State:MN
Practice Address - Zip Code:56560-6800
Practice Address - Country:US
Practice Address - Phone:612-418-0574
Practice Address - Fax:763-322-8858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-04
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment