Healthcare Provider Details

I. General information

NPI: 1265069421
Provider Name (Legal Business Name): ACCESS ELEVATOR, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2020
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 COPELAND AVE
LA CROSSE WI
54603-3402
US

IV. Provider business mailing address

65 COPELAND AVE
LA CROSSE WI
54603-3402
US

V. Phone/Fax

Practice location:
  • Phone: 608-784-9980
  • Fax: 414-727-6945
Mailing address:
  • Phone: 608-784-9980
  • Fax: 414-727-6945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171WV0202X
TaxonomyVehicle Modifications Contractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: JON TEVZ
Title or Position: OWNER
Credential:
Phone: 414-758-2900