Organization
ACCESS ONE BY MSG INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK STEVEN GAWEL (PRESIDENT)
(260) 485-7007
Entity
Organization
Contact information
Practice address
6652 SAINT JOE RD, FORT WAYNE, IN 46835-1974
(260) 485-7007
(260) 486-7887
Mailing address
6652 SAINT JOE RD, FORT WAYNE, IN 46835-1974
(260) 485-7007
(260) 486-7887
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0132993023
IN
332BC3200X
Customized Equipment (DME)
0132993023
IN
332BD1200X
Dialysis Equipment & Supplies (DME)
0132993023
IN
332BN1400X
Nursing Facility Supplies (DME)
0132993023
IN
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0132993023
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200802140
—
IN
05
—
200806100
—
IN
01
—
610371770
DUN & BRADSTREET
IN
Enumeration date
01/27/2014
Last updated
06/20/2018
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