Provider Demographics
NPI:1689177438
Name:ACCESS MEDICAL, INC.
Entity Type:Organization
Organization Name:ACCESS MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BLAINE
Authorized Official - Middle Name:CALVIN
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:ATP/SMS, CRTS
Authorized Official - Phone:760-929-2828
Mailing Address - Street 1:3266 GREY HAWK CT
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92010-6651
Mailing Address - Country:US
Mailing Address - Phone:760-929-2828
Mailing Address - Fax:866-533-3030
Practice Address - Street 1:238 SAND ISLAND ACCESS RD STE R4
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-2273
Practice Address - Country:US
Practice Address - Phone:808-495-0977
Practice Address - Fax:866-533-3030
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACCESS MEDICAL, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-03-16
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI813700332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI813700Medicaid