Organization
HEALTHACCESS, INC.
Active
Other names
Vidant Home Health and Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRAVIS L DOUGLASS (PRESIDENT)
(252) 847-9168
Entity
Organization
Contact information
Practice address
1005 W H SMITH BLVD, GREENVILLE, NC 27835-5052
(252) 847-7830
(252) 847-7910
Mailing address
PO BOX 8125, GREENVILLE, NC 27835-8125
(252) 847-7830
(252) 847-7910
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC1443
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0072Q
BCBS PROVIDER NUMBER
NC
05
—
3407220
—
NC
Enumeration date
11/16/2005
Last updated
10/09/2014
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