Operational for more than 20 years, Action Telephone Exchange provides message management services. Its 24-hour monitoring system records every incoming and outgoing conversation, and provides clients with complete call logs, including hold and ring times. It specializes in medical accounts, including private practices, hospital divisions, nursing agencies and pharmaceutical delivery companies. Action Telephone Exchange represents a variety of companies, including private contractors, law firms and municipal repair divisions. It also offers voice mail, order entry, paging and appointment scheduling services. It is a member of the Association of TeleServices International and StarTel National Users Group. Action Telephone Exchange maintains a location in Rochester, N.Y.