Provider Demographics
NPI:1730596693
Name:FIRST CHOICE HEALTHCARE, INC.
Entity type:Organization
Organization Name:FIRST CHOICE HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KARA
Authorized Official - Middle Name:L
Authorized Official - Last Name:CRAIG
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:208-322-7061
Mailing Address - Street 1:12400 W OVERLAND RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83709-0021
Mailing Address - Country:US
Mailing Address - Phone:208-322-7061
Mailing Address - Fax:208-321-7052
Practice Address - Street 1:12400 W OVERLAND RD
Practice Address - Street 2:SUITE 100
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83709-0021
Practice Address - Country:US
Practice Address - Phone:208-322-7061
Practice Address - Fax:208-321-7052
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A BETTER WAY HEALTH MANAGEMENT, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-07-11
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID20005384Medicare UPIN