Organization Name: | FIRST CARE MEDICAL SERVICES |
NPI Number: | 1073638565 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEVIN GISH (PRESIDENT) |
Mailing Address: | 900 Hilligoss Blvd Se Fosston |
State: | MN US |
Postal Code: | 565421542 |
Phone Number: | 2184351133 |
Fax Number: | 2184351134 |
NPI Enumeration Date: | 03/21/2007 |
NPI Last Update Date: | 12/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QC0050X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Critical Access Hospital |
Taxonomy Definition: | An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified. |