Provider Demographics
NPI:1205033206
Name:ACCESSIBLE MEDICAL CARE
Entity type:Organization
Organization Name:ACCESSIBLE MEDICAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AUGUSTUS
Authorized Official - Middle Name:H
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-588-6686
Mailing Address - Street 1:1010 WAYNE AVE
Mailing Address - Street 2:SUITE 410
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-5600
Mailing Address - Country:US
Mailing Address - Phone:301-588-6686
Mailing Address - Fax:301-589-2670
Practice Address - Street 1:1010 WAYNE AVE
Practice Address - Street 2:SUITE 410
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-5600
Practice Address - Country:US
Practice Address - Phone:301-588-6686
Practice Address - Fax:301-589-2670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-02
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
490575Medicare PIN