Provider Demographics
NPI:1730305871
Name:FIRST CHOICE HOME MEDICAL EQUIPMENT INC.
Entity type:Organization
Organization Name:FIRST CHOICE HOME MEDICAL EQUIPMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-378-3117
Mailing Address - Street 1:1907 N MEDICAL PARK DR STE B
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38703-7240
Mailing Address - Country:US
Mailing Address - Phone:662-378-3117
Mailing Address - Fax:662-378-3191
Practice Address - Street 1:1907 N MEDICAL PARK DR STE B
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:MS
Practice Address - Zip Code:38703-7240
Practice Address - Country:US
Practice Address - Phone:662-378-3117
Practice Address - Fax:662-378-3191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS=========Medicare UPIN
MS5945320001Medicare NSC