Provider Demographics
NPI:1841369121
Name:ACCESIBILITY SPECIALTY INC
Entity type:Organization
Organization Name:ACCESIBILITY SPECIALTY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RUSTY
Authorized Official - Middle Name:
Authorized Official - Last Name:MASHBURN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-312-1000
Mailing Address - Street 1:1920 JOHN BARROW RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72204-1448
Mailing Address - Country:US
Mailing Address - Phone:501-312-1000
Mailing Address - Fax:501-312-1100
Practice Address - Street 1:1920 JOHN BARROW RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72204-1448
Practice Address - Country:US
Practice Address - Phone:501-312-1000
Practice Address - Fax:501-312-1100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
1236540001Medicare ID - Type Unspecified