Organization
EASY ACCESS MEDICAL SUPPLY INC
Active
Organization
EASY ACCESS MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR HELLSTROM (OWNER PRESIDENT)
(570) 223-6044
Entity
Organization
Contact information
Practice address
123 COLUMBIA DR, JAY PARK SUITE A, MARSHALLS CREEK, PA 18335-0023
(570) 223-6044
(570) 223-2745
Mailing address
PO BOX 23, MARSHALLS CREEK, PA 18335-0023
(570) 223-6044
(570) 223-2745
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6000005059
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000793852
BLUE CROSS BLUE SHEILD
KS
01
—
0000Z68957
BLUE CROSS BLUE SHEILD
MA
01
—
209841
BLUE CROSS BLUE SHEILD
MT
01
—
306819
AVERA HEALTH PLANS INC
—
01
—
3624596
BLUE CROSS BLUE SHEILD
LA
01
—
74817
ANTHEM BLUE CROSS AND BLU
—
Enumeration date
09/08/2006
Last updated
03/05/2012
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