Provider Demographics
NPI:1528262474
Name:ACCESS HEALTH
Entity type:Organization
Organization Name:ACCESS HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:314-374-9399
Mailing Address - Street 1:630 BROADMOOR DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-3124
Mailing Address - Country:US
Mailing Address - Phone:314-374-9399
Mailing Address - Fax:
Practice Address - Street 1:3430 MCKELVEY RD
Practice Address - Street 2:SUITE H
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044-2556
Practice Address - Country:US
Practice Address - Phone:314-291-1516
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007007207305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service