Provider Demographics
NPI:1952308611
Name:ACCESS AND MOBILITY ENTERPRISES INC
Entity Type:Organization
Organization Name:ACCESS AND MOBILITY ENTERPRISES INC
Other - Org Name:101 MOBILITY OF WV
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:N
Authorized Official - Last Name:MURDOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-522-6808
Mailing Address - Street 1:302 VIRGINIA AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-1123
Mailing Address - Country:US
Mailing Address - Phone:304-522-6808
Mailing Address - Fax:304-697-6808
Practice Address - Street 1:302 VIRGINIA AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-1123
Practice Address - Country:US
Practice Address - Phone:304-522-6808
Practice Address - Fax:304-697-6808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV008857332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV6204081-000Medicaid
WV5469920001Medicare NSC