Provider Demographics
NPI:1356506067
Name:BARRIER FREE AMERICA, INC.
Entity Type:Organization
Organization Name:BARRIER FREE AMERICA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:WILK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-942-6421
Mailing Address - Street 1:2011 W DAVIS RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85023-7208
Mailing Address - Country:US
Mailing Address - Phone:602-942-6421
Mailing Address - Fax:602-564-2840
Practice Address - Street 1:2011 W DAVIS RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85023-7208
Practice Address - Country:US
Practice Address - Phone:602-942-6421
Practice Address - Fax:602-564-2840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-22
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ436908Medicaid