Provider Demographics
NPI:1861784761
Name:ACCESS ONE TRANSPORTATION,CORP
Entity type:Organization
Organization Name:ACCESS ONE TRANSPORTATION,CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:CORNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-466-7224
Mailing Address - Street 1:1441 BALMORAL AVE
Mailing Address - Street 2:
Mailing Address - City:WESTCHESTER
Mailing Address - State:IL
Mailing Address - Zip Code:60154-3679
Mailing Address - Country:US
Mailing Address - Phone:708-466-7224
Mailing Address - Fax:708-378-5400
Practice Address - Street 1:1441 BALMORAL AVE APT 1N
Practice Address - Street 2:
Practice Address - City:WESTCHESTER
Practice Address - State:IL
Practice Address - Zip Code:60154-3661
Practice Address - Country:US
Practice Address - Phone:708-466-7224
Practice Address - Fax:708-378-5400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-10
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)