Healthcare Provider Details

I. General information

NPI: 1649019902
Provider Name (Legal Business Name): FIRSTCHOICE FAMILY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2024
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 W MAIN ST
BYRDSTOWN TN
38549-2416
US

IV. Provider business mailing address

601 W MAIN ST
BYRDSTOWN TN
38549-2416
US

V. Phone/Fax

Practice location:
  • Phone: 931-864-3232
  • Fax: 931-864-3231
Mailing address:
  • Phone: 931-864-3232
  • Fax: 931-864-3231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JAMIE ANNE GARRETT
Title or Position: PRACTICE MANAGER
Credential:
Phone: 931-864-3232