Provider Demographics
NPI:1699845883
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:MR
Authorized Official - First Name:BLAINE
Authorized Official - Middle Name:C
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:ATP/SMS, CRTS
Authorized Official - Phone:858-353-4404
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:760-929-0101
Practice Address - Street 1:3266 GREY HAWK CT
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92010-6651
Practice Address - Country:US
Practice Address - Phone:760-929-2828
Practice Address - Fax:760-929-0101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2006-22079332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT5702770001Medicare NSC
CA5702770003Medicare NSC