Healthcare Provider Details

I. General information

NPI: 1104608793
Provider Name (Legal Business Name): ACCESSIBLE SYSTEMS OF WICHITA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2023
Last Update Date: 10/18/2023
Certification Date: 10/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 E DOUGLAS AVE FL 2
WICHITA KS
67202-3548
US

IV. Provider business mailing address

3025 W JEFFERSON AVE
ENGLEWOOD CO
80110-3270
US

V. Phone/Fax

Practice location:
  • Phone: 316-348-4198
  • Fax:
Mailing address:
  • Phone: 303-693-7787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number StateNULL

VIII. Authorized Official

Name: BRIAN BURFIELD
Title or Position: GENERAL COUNCIL
Credential:
Phone: 814-594-0185