Provider Demographics
NPI:1508022252
Name:ACCESS MEDIQUIP LLC
Entity Type:Organization
Organization Name:ACCESS MEDIQUIP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:H
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-985-4850
Mailing Address - Street 1:12 KENT WAY
Mailing Address - Street 2:
Mailing Address - City:BYFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01922-1221
Mailing Address - Country:US
Mailing Address - Phone:877-985-4850
Mailing Address - Fax:
Practice Address - Street 1:12 KENT WAY
Practice Address - Street 2:
Practice Address - City:BYFIELD
Practice Address - State:MA
Practice Address - Zip Code:01922-1221
Practice Address - Country:US
Practice Address - Phone:877-985-4850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACCESS MEDIQUIP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-08-01
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL141732523OtherNPI
TX1033223177OtherNPI