Health First Medical Supplies, LLC

Key facts

NPI

1912917568

Entity type

Organization (NPI type 2)

Primary specialty

Durable Medical Equipment & Medical Supplies 332B00000X

Legal business name

HEALTH FIRST MEDICAL SUPPLIES, LLC

Practice address

1617 S Laramie Ave
Cicero, IL 60804-1943

Phone

(708) 780-1734

Fax

(770) 996-9538

NPI assigned

Aug 8, 2006

Organization subpart

No

Authorized official

Name

Dwight E Jones

Title

Owner

Phone

(312) 593-8066

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912917568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 E DELAWARE PL",
            "address_2": "SUITE 4D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606111713",
            "telephone_number": "312-593-8066",
            "fax_number": "770-996-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 S LARAMIE AVE",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608041943",
            "telephone_number": "708-780-1734",
            "fax_number": "770-996-9538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH FIRST MEDICAL SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-593-8066"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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