Provider Demographics
NPI:1780842104
Name:HEALTH ACCESS NETWORK INC
Entity Type:Organization
Organization Name:HEALTH ACCESS NETWORK INC
Other - Org Name:HEALTH ACCESS NETWORK-MEDWAY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:207-794-6700
Mailing Address - Street 1:1930 MEDWAY RD
Mailing Address - Street 2:
Mailing Address - City:MEDWAY
Mailing Address - State:ME
Mailing Address - Zip Code:04460-3166
Mailing Address - Country:US
Mailing Address - Phone:207-794-6700
Mailing Address - Fax:207-746-5697
Practice Address - Street 1:1930 MEDWAY RD
Practice Address - Street 2:
Practice Address - City:MEDWAY
Practice Address - State:ME
Practice Address - Zip Code:04460
Practice Address - Country:US
Practice Address - Phone:207-794-6700
Practice Address - Fax:207-746-5697
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTH ACCESS NETWORK, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-02
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME201845Medicare Oscar/Certification