| Organization Name: | FIRST CARE MEDICAL SERVICES |
| NPI Number: | 1790861649 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KEVIN GISH (ADMINISTRATOR) |
| Mailing Address: | 121 Central St W Bagley |
| State: | MN US |
| Postal Code: | 566210607 |
| Phone Number: | 2186946281 |
| Fax Number: | 2186946283 |
| NPI Enumeration Date: | 10/31/2006 |
| NPI Last Update Date: | 12/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |