MEDICARE: FIRST MED SUPPLY INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies		WA

General Provider Information

NPI Number	:	1033212964
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST MED SUPPLY INC.

Provider Business Mailing Address
First Line	:	2481 132ND AVE S.E.
Second Line	:
City	:	BELLEVUE
State	:	WA
Zip	:	98005-4223
Country	:	US
Telephone Number	:	206-953-2055
Fax Number	:

Provider Business Practice Location Address
First Line	:	2481 132ND AVE SE
Second Line	:
City	:	BELLEVUE
State	:	WA
Zip	:	98005-4223
Country	:	US
Telephone Number	:	206-953-2055
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	DAVID ARUTYUNOV
Credential	:
Telephone Number	:	206-953-2055

Provider Enumeration Date	:	09/06/2006
Last Update Date	:	07/21/2022

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