Provider Demographics
NPI:1497994909
Name:ACCESS MEDICAL SUPPLIES INC.
Entity Type:Organization
Organization Name:ACCESS MEDICAL SUPPLIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:A
Authorized Official - Last Name:WATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-873-0037
Mailing Address - Street 1:1415 LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-5509
Mailing Address - Country:US
Mailing Address - Phone:985-873-0037
Mailing Address - Fax:985-873-0048
Practice Address - Street 1:1415 LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-5509
Practice Address - Country:US
Practice Address - Phone:985-873-0037
Practice Address - Fax:985-873-0048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-09
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4359332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies