Provider Demographics
NPI:1093868804
Name:ACCESS INCORPORATED
Entity Type:Organization
Organization Name:ACCESS INCORPORATED
Other - Org Name:THE MEADOWS
Other - Org Type:Other Name
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SUCKOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-456-2532
Mailing Address - Street 1:20 5TH ST NW
Mailing Address - Street 2:P.O. BOX 268
Mailing Address - City:HAMPTON
Mailing Address - State:IA
Mailing Address - Zip Code:50441-1908
Mailing Address - Country:US
Mailing Address - Phone:641-456-2532
Mailing Address - Fax:641-456-4682
Practice Address - Street 1:20 5TH ST NW
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:IA
Practice Address - Zip Code:50441-1908
Practice Address - Country:US
Practice Address - Phone:641-456-2532
Practice Address - Fax:641-456-4682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled Services
Not Answered251S00000XAgenciesCommunity/Behavioral Health
Not Answered320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Not Answered320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0893115Medicaid
IA0101204Medicaid