Provider Demographics
NPI:1912108523
Name:ACCESS AND ABILITY
Entity Type:Organization
Organization Name:ACCESS AND ABILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MENDA
Authorized Official - Middle Name:K
Authorized Official - Last Name:WARNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-545-1344
Mailing Address - Street 1:PO BOX 305
Mailing Address - Street 2:510 12TH STREET
Mailing Address - City:GILCREST
Mailing Address - State:CO
Mailing Address - Zip Code:80623-0305
Mailing Address - Country:US
Mailing Address - Phone:970-545-1344
Mailing Address - Fax:970-737-0517
Practice Address - Street 1:510 12TH STREET
Practice Address - Street 2:
Practice Address - City:GILCREST
Practice Address - State:CO
Practice Address - Zip Code:80623-0305
Practice Address - Country:US
Practice Address - Phone:970-545-1344
Practice Address - Fax:970-737-0517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO21532826Medicaid