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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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