Healthcare Provider Details
I. General information
NPI: 1154403350
Provider Name (Legal Business Name): FIRST CHOICE HEALTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
114 JEFFERSON DAVIS BLVD
NATCHEZ MS
39120-5104
US
IV. Provider business mailing address
114 JEFFERSON DAVIS BLVD
NATCHEZ MS
39120-5104
US
V. Phone/Fax
- Phone: 225-201-0950
- Fax: 225-923-3488
- Phone: 225-201-0950
- Fax: 225-923-3488
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA1903X |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| License Number | |
| License Number State | MS |
VIII. Authorized Official
Name:
ARNOLD
E
FELDMAN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MD
Phone: 225-201-0950