Healthcare Provider Details

I. General information

NPI: 1215415682
Provider Name (Legal Business Name): ARIZONA'S FIRST CHOICE MEDICAL EQUIPMENT, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2018
Last Update Date: 07/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5060 N 19TH AVE STE 102
PHOENIX AZ
85015-3211
US

IV. Provider business mailing address

5060 N 19TH AVE STE 102
PHOENIX AZ
85015-3211
US

V. Phone/Fax

Practice location:
  • Phone: 602-702-6963
  • Fax:
Mailing address:
  • Phone: 602-702-6963
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BD1200X
TaxonomyDialysis Equipment & Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MS. MELISSA ANN TELLEZ
Title or Position: OWNER
Credential:
Phone: 602-702-6963