Provider Demographics
NPI:1992802862
Name:ACCESS MEDICAL LLC
Entity type:Organization
Organization Name:ACCESS MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPLE
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:BREWSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-268-4442
Mailing Address - Street 1:PO BOX 12250
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66112-0250
Mailing Address - Country:US
Mailing Address - Phone:913-268-4442
Mailing Address - Fax:913-788-9381
Practice Address - Street 1:605 N BROADWAY ST
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:KS
Practice Address - Zip Code:66762-3904
Practice Address - Country:US
Practice Address - Phone:620-232-6245
Practice Address - Fax:620-232-6158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
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
KS118379OtherBCBS PROVIDER ID#
KS118379OtherBCBS PROVIDER ID#