MEDICARE: CHOICE HEALTHCARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)
2	332B00000X	Durable Medical Equipment & Medical Supplies	H13-00157-4-097424	NV

General Provider Information

NPI Number	:	1538137195
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHOICE HEALTHCARE, INC.

Provider Business Mailing Address
First Line	:	500 N 56TH ST
Second Line	:	SUITE 10
City	:	CHANDLER
State	:	AZ
Zip	:	85226-2506
Country	:	US
Telephone Number	:	888-250-5003
Fax Number	:	888-250-5001

Provider Business Practice Location Address
First Line	:	500 N 56TH ST
Second Line	:	SUITE 10
City	:	CHANDLER
State	:	AZ
Zip	:	85226-2506
Country	:	US
Telephone Number	:	888-250-5003
Fax Number	:	888-250-5001

Authorized Official
Title or Position	:	OWNER
Name	:	DEANNE M FUGITT
Credential	:
Telephone Number	:	888-250-5003

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	02/15/2012

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Directions to “CHOICE HEALTHCARE, INC. ” Practice Location

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