Organization Name: | 1ST CHOICE HEALTHCARE INC |
NPI Number: | 1366498735 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBRA L FINLEY (CHIEF OPERATING OFFICER) |
Mailing Address: | 141 Betty Dr Pocahontas |
State: | AR US |
Postal Code: | 724553602 |
Phone Number: | 8708929949 |
Fax Number: | 8708920208 |
NPI Enumeration Date: | 05/26/2006 |
NPI Last Update Date: | 06/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 06/09/2006 |
NPI Reactivation Date: | 06/09/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |