Provider Demographics
NPI:1437110285
Name:ACCESS HEALTH TEAM INC.
Entity Type:Organization
Organization Name:ACCESS HEALTH TEAM INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-473-4093
Mailing Address - Street 1:200 W GENTRY AVE
Mailing Address - Street 2:
Mailing Address - City:CHECOTAH
Mailing Address - State:OK
Mailing Address - Zip Code:74426-2440
Mailing Address - Country:US
Mailing Address - Phone:918-473-4093
Mailing Address - Fax:918-473-0780
Practice Address - Street 1:200 W GENTRY AVE
Practice Address - Street 2:
Practice Address - City:CHECOTAH
Practice Address - State:OK
Practice Address - Zip Code:74426-2440
Practice Address - Country:US
Practice Address - Phone:918-473-4093
Practice Address - Fax:918-473-0780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7755251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK7755OtherHOME HEALTH LICENSE
OK200020750AMedicaid