Provider Demographics
NPI:1356521751
Name:ACCESS ADVANTAGE LLC
Entity type:Organization
Organization Name:ACCESS ADVANTAGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:CUMMINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-345-5001
Mailing Address - Street 1:PO BOX 340006
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43234
Mailing Address - Country:US
Mailing Address - Phone:614-345-5001
Mailing Address - Fax:877-333-8079
Practice Address - Street 1:75 E WILSON BRIDGE ROAD
Practice Address - Street 2:SUITE C4
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085
Practice Address - Country:US
Practice Address - Phone:614-345-5001
Practice Address - Fax:877-333-8079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-14
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1672505174400000X
174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty