MEDICARE: ACCESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	315P00000X	Intellectual Disabilities Intermediate Care Facility	45H262	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588692354
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCESS

Provider Business Mailing Address
First Line	:	5656 N. JACKSON
Second Line	:
City	:	JACKSONVILLE
State	:	TX
Zip	:	75766
Country	:	US
Telephone Number	:	903-589-9000
Fax Number	:	903-586-9200

Provider Business Practice Location Address
First Line	:	5656 N. JACKSON
Second Line	:
City	:	JACKSONVILLE
State	:	TX
Zip	:	75766
Country	:	US
Telephone Number	:	903-589-9000
Fax Number	:	903-586-9200

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	ALLYN LANG
Credential	:
Telephone Number	:	903-586-5507

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	06/13/2008

Similar Medicare Providers

1124022918 — JILL K PONTIUS MD
Practice Location Address:

5656 N JACKSON ST
JACKSONVILLE, TX
75766-9641

Practice Phone: 903-589-9000
Practice Fax: 903-586-9200

1497759237 — ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES
Practice Location Address:

5656 N JACKSON ST
JACKSONVILLE, TX
75766-9641

Practice Phone: 903-589-9000
Practice Fax: 903-586-9200

1821092677 — ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES
Practice Location Address:

913 N JACKSON ST
JACKSONVILLE, TX
75766-3801

Practice Phone: 903-586-5507
Practice Fax: 903-586-4234

1154325645 — ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES
Practice Location Address:

5656 N JACKSON ST
JACKSONVILLE, TX
75766-9641

Practice Phone: 903-589-9000
Practice Fax: 903-586-9200

1952306672 — MOTHER FRANCES HOSPITAL JACKSONVILLE
Practice Location Address:

2026 S JACKSON ST
JACKSONVILLE, TX
75766-5822

Practice Phone: 903-541-4500
Practice Fax: 903-541-4679

1700883428 — DR. JOHN T ARDILL O.D.
Practice Location Address:

928 S BOLTON ST
JACKSONVILLE, TX
75766-2906

Practice Phone: 903-586-7900
Practice Fax: 903-586-4373

1235137621 — DR. SCOTT J SANDS M.D.
Practice Location Address:

928 SOUTH BOLTON STREET
JACKSONVILLE, TX
75766

Practice Phone: 903-586-7900
Practice Fax: 903-586-4373

Directions to “ACCESS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.