Provider Demographics
NPI:1790868339
Name:ACCESS HEALTHCARE INC
Entity Type:Organization
Organization Name:ACCESS HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHELOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-316-7199
Mailing Address - Street 1:2103 GRAVES MILL RD
Mailing Address - Street 2:
Mailing Address - City:FOREST
Mailing Address - State:VA
Mailing Address - Zip Code:24551-2675
Mailing Address - Country:US
Mailing Address - Phone:434-316-7199
Mailing Address - Fax:434-316-6185
Practice Address - Street 1:2103 GRAVES MILL RD
Practice Address - Street 2:
Practice Address - City:FOREST
Practice Address - State:VA
Practice Address - Zip Code:24551-2675
Practice Address - Country:US
Practice Address - Phone:434-316-7199
Practice Address - Fax:434-316-6185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA080179876OtherMEDICARE RAILROAD
VA300825OtherSOUTHERN HEALTH
VA005613116Medicaid
VA009387416OtherTRICARE
VA=========OtherUNITED HEALTHCARE
VA5234699OtherCIGNA
VA8138047OtherMAMSI
VA=========001OtherPIEDMONT COMMUNITY HEALTH
VA452132OtherANTHEM