Provider Demographics
NPI:1356530521
Name:ACCESS MEDICAL INC
Entity type:Organization
Organization Name:ACCESS MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AKWA
Authorized Official - Middle Name:
Authorized Official - Last Name:NNSEWO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-585-0234
Mailing Address - Street 1:PO BOX 1997
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20915-1997
Mailing Address - Country:US
Mailing Address - Phone:410-585-0234
Mailing Address - Fax:
Practice Address - Street 1:6495 NEW HAMPSHIRE AVE STE 320
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20783-6206
Practice Address - Country:US
Practice Address - Phone:410-585-0234
Practice Address - Fax:240-568-9300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-23
Last Update Date:2017-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD192391OtherAMERIGROUP
MD401945800Medicaid
MD401945800Medicaid