Healthcare Provider Details

I. General information

NPI: 1861859548
Provider Name (Legal Business Name): NATIONAL ACCESS CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2016
Last Update Date: 07/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1126 ELIZABETH AVE
LANCASTER PA
17601-4364
US

IV. Provider business mailing address

1126 ELIZABETH AVE
LANCASTER PA
17601-4364
US

V. Phone/Fax

Practice location:
  • Phone: 717-826-9431
  • Fax: 717-826-9554
Mailing address:
  • Phone: 717-826-9431
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number115274
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: TROY BUFFENMYER
Title or Position: SECRETARY
Credential:
Phone: 717-826-9431