Provider Demographics
NPI:1154562619
Name:ACCESS ELEVATOR & LIFT, INC.
Entity type:Organization
Organization Name:ACCESS ELEVATOR & LIFT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:FAGERSTROM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-483-3696
Mailing Address - Street 1:1209 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:14701-1952
Mailing Address - Country:US
Mailing Address - Phone:716-483-3696
Mailing Address - Fax:716-484-7018
Practice Address - Street 1:1209 E 2ND ST
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:NY
Practice Address - Zip Code:14701-1952
Practice Address - Country:US
Practice Address - Phone:716-483-3696
Practice Address - Fax:716-484-7018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-13
Last Update Date:2009-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment