MEDICARE: FIRST CHOICE EMS LLC

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	341600000X	Ambulance

General Provider Information

NPI Number	:	1639441447
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST CHOICE EMS LLC

Provider Business Mailing Address
First Line	:	4972 MARION MOUNT GILEAD RD
Second Line	:
City	:	CALEDONIA
State	:	OH
Zip	:	43314-9415
Country	:	US
Telephone Number	:	567-231-9821
Fax Number	:

Provider Business Practice Location Address
First Line	:	4972 MARION MOUNT GILEAD RD
Second Line	:
City	:	CALEDONIA
State	:	OH
Zip	:	43314-9415
Country	:	US
Telephone Number	:	567-231-9821
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. SABRINA CRAYCRAFT
Credential	:
Telephone Number	:	567-231-9821

Provider Enumeration Date	:	02/08/2012
Last Update Date	:	02/08/2012

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Directions to “FIRST CHOICE EMS LLC ” Practice Location

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