Provider Demographics
NPI:1861754277
Name:FIRST NATIONAL MEDICAL SUPPLIES
Entity type:Organization
Organization Name:FIRST NATIONAL MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:AWADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-285-3300
Mailing Address - Street 1:6901 WYOMING ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-2348
Mailing Address - Country:US
Mailing Address - Phone:407-285-3300
Mailing Address - Fax:313-846-4278
Practice Address - Street 1:6901 WYOMING ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-2348
Practice Address - Country:US
Practice Address - Phone:407-285-3300
Practice Address - Fax:313-846-4278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies