Healthcare Provider Details

I. General information

NPI: 1396160057
Provider Name (Legal Business Name): FAMILY FIRST MEDICAL EQUIPMENT CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2014
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1985 W APACHE TRL STE 4
APACHE JUNCTION AZ
85120-3785
US

IV. Provider business mailing address

1985 W APACHE TRL STE 4
APACHE JUNCTION AZ
85120-3785
US

V. Phone/Fax

Practice location:
  • Phone: 480-212-2689
  • Fax: 480-924-1171
Mailing address:
  • Phone: 480-212-2689
  • Fax: 480-924-1171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateAZ

VIII. Authorized Official

Name: SYDNEY M EATMAN
Title or Position: PRESIDENT
Credential:
Phone: 480-212-2689