Provider Demographics
NPI:1235998899
Name:ACCESSIBLE MEDICAL SUPPLY LLC
Entity Type:Organization
Organization Name:ACCESSIBLE MEDICAL SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WADE
Authorized Official - Middle Name:
Authorized Official - Last Name:OLKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-670-2928
Mailing Address - Street 1:3585 BIRCHPOND RD
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55122-4900
Mailing Address - Country:US
Mailing Address - Phone:612-670-2928
Mailing Address - Fax:
Practice Address - Street 1:3585 BIRCHPOND RD
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55122-4900
Practice Address - Country:US
Practice Address - Phone:612-670-2928
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACCESSIBLE MEDICAL SUPPLY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-03-18
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies