Healthcare Provider Details
I. General information
NPI: 1124275185
Provider Name (Legal Business Name): FIRST CARE HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/21/2008
Last Update Date: 03/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
408 SWEETWATER VONORE RD
SWEETWATER TN
37874-3025
US
IV. Provider business mailing address
408 SWEETWATER VONORE RD
SWEETWATER TN
37874-3025
US
V. Phone/Fax
- Phone: 423-337-5812
- Fax: 423-337-0453
- Phone: 423-337-5812
- Fax: 423-337-0453
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | 397 |
| License Number State | TN |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | 397 |
| License Number State | TN |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | 397 |
| License Number State | TN |
VIII. Authorized Official
Name: DR.
CHARLES
HARVEY
SATTERFIELD
Title or Position: CHIEF MANAGER/OWNER
Credential: PHARM.D.
Phone: 423-337-5812