MEDICARE: ACCESS MEDICAL, INC.

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	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1659083509
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCESS MEDICAL, INC.

Provider Business Mailing Address
First Line	:	3266 GREY HAWK CT
Second Line	:
City	:	CARLSBAD
State	:	CA
Zip	:	92010-6651
Country	:	US
Telephone Number	:	888-840-8698
Fax Number	:	866-533-3030

Provider Business Practice Location Address
First Line	:	1531 FORD DR STE A
Second Line	:
City	:	EL CENTRO
State	:	CA
Zip	:	92243-1602
Country	:	US
Telephone Number	:	760-970-4648
Fax Number	:	866-533-3030

Authorized Official
Title or Position	:	CEO
Name	:	BLAINE CALVIN HUNT
Credential	:	ATP/SMS, CRTS
Telephone Number	:	760-929-2828

Provider Enumeration Date	:	12/21/2022
Last Update Date	:	10/27/2023

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