Healthcare Provider Details

I. General information

NPI: 1366431868
Provider Name (Legal Business Name): FIRST CHOICE MEDICAL EQUIPMENT AND RESPIRATORY SERVICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2005
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

413 VARDRY ST UNIT 4B
GREENVILLE SC
29601
US

IV. Provider business mailing address

406 MEDICAL CENTER DR
JASPER AL
35501-3400
US

V. Phone/Fax

Practice location:
  • Phone: 864-813-4630
  • Fax: 864-200-2026
Mailing address:
  • Phone: 205-221-8258
  • Fax: 205-221-8308

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number StateSC
# 3
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateSC

VIII. Authorized Official

Name: LISA J. WELLS
Title or Position: SR VICE PRESIDENT
Credential: CPCO
Phone: 205-221-8258