Provider Demographics
NPI:1477598282
Name:ACCESS MEDICAL SALES & SERVICE, LLC
Entity Type:Organization
Organization Name:ACCESS MEDICAL SALES & SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GRADEN
Authorized Official - Middle Name:ROSS
Authorized Official - Last Name:BEARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-278-5210
Mailing Address - Street 1:601 MARION ST
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-4845
Mailing Address - Country:US
Mailing Address - Phone:501-278-5210
Mailing Address - Fax:501-278-5062
Practice Address - Street 1:601 MARION ST
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-4845
Practice Address - Country:US
Practice Address - Phone:501-278-5210
Practice Address - Fax:501-278-5062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARMG00489332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR148366716Medicaid
AR148366716Medicaid