Provider Demographics
NPI:1922198217
Name:MED ACCESS
Entity Type:Organization
Organization Name:MED ACCESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:REGINALD
Authorized Official - Middle Name:V
Authorized Official - Last Name:MACLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-240-1515
Mailing Address - Street 1:106 ARABIAN PATH
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63376-1798
Mailing Address - Country:US
Mailing Address - Phone:636-240-2941
Mailing Address - Fax:
Practice Address - Street 1:106 ARABIAN PATH
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-1798
Practice Address - Country:US
Practice Address - Phone:636-240-2941
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251E00000XAgenciesHome Health
Not Answered251J00000XAgenciesNursing Care