MEDICARE: 1ST CHOICE HEALTH

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	343900000X	Non-emergency Medical Transport (VAN)		MN

General Provider Information

NPI Number	:	1659736627
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	1ST CHOICE HEALTH

Provider Business Mailing Address
First Line	:	12937 KENYON ST NE
Second Line	:
City	:	BLAINE
State	:	MN
Zip	:	55449-4991
Country	:	US
Telephone Number	:	612-532-4086
Fax Number	:

Provider Business Practice Location Address
First Line	:	12937 KENYON ST NE
Second Line	:
City	:	BLAINE
State	:	MN
Zip	:	55449-4991
Country	:	US
Telephone Number	:	612-532-4086
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MISS AFIFA YASSIN
Credential	:	BUSINESS
Telephone Number	:	612-532-4086

Provider Enumeration Date	:	12/17/2015
Last Update Date	:	07/21/2022

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Directions to “1ST CHOICE HEALTH ” Practice Location

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