Provider Demographics
NPI:1104393362
Name:ACCESS WELLNESS SERVICES
Entity Type:Organization
Organization Name:ACCESS WELLNESS SERVICES
Other - Org Name:ACCESS WELLNESS HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-526-6400
Mailing Address - Street 1:2209 COFFEE RD STE I
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95355-2360
Mailing Address - Country:US
Mailing Address - Phone:209-526-6400
Mailing Address - Fax:209-526-6425
Practice Address - Street 1:2209 COFFEE RD STE I
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95355-2360
Practice Address - Country:US
Practice Address - Phone:209-526-6400
Practice Address - Fax:209-526-6425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-25
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty