Healthcare Provider Details

I. General information

NPI: 1790302818
Provider Name (Legal Business Name): ACCESS MEDICAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2020
Last Update Date: 10/27/2023
Certification Date: 10/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

FLORES DE MAYO, KOBLERVILLE
SAIPAN MP
96950-5373
US

IV. Provider business mailing address

3266 GREY HAWK CT
CARLSBAD CA
92010-6651
US

V. Phone/Fax

Practice location:
  • Phone: 670-588-3000
  • Fax: 866-533-3030
Mailing address:
  • Phone: 888-840-8698
  • Fax: 866-533-3030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: BLAINE CALVIN HUNT
Title or Position: CEO
Credential: ATP/SMS, CRTS
Phone: 760-929-2828