Provider Demographics
NPI:1730666926
Name:AXXESS MEDICAL LLC
Entity Type:Organization
Organization Name:AXXESS MEDICAL LLC
Other - Org Name:FIVEFOLD CARE LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRITON
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:CHAMBERLAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-744-9053
Mailing Address - Street 1:PO BOX 1092
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75091
Mailing Address - Country:US
Mailing Address - Phone:903-744-9053
Mailing Address - Fax:
Practice Address - Street 1:304 N GRAND AVE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:TX
Practice Address - Zip Code:76240
Practice Address - Country:US
Practice Address - Phone:903-744-9053
Practice Address - Fax:832-318-6085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-20
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies