Provider Demographics
NPI:1790302818
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:888-840-8698
Mailing Address - Fax:866-533-3030
Practice Address - Street 1:FLORES DE MAYO, KOBLERVILLE
Practice Address - Street 2:
Practice Address - City:SAIPAN
Practice Address - State:MP
Practice Address - Zip Code:96950-5373
Practice Address - Country:US
Practice Address - Phone:670-588-3000
Practice Address - Fax:866-533-3030
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACCESS MEDICAL, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-06
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1699845883Medicaid