MEDICARE: FIRST RESOURCES CORP

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1336306232
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST RESOURCES CORP

Provider Business Mailing Address
First Line	:	110 E WASHINGTON ST
Second Line	:
City	:	SIGOURNEY
State	:	IA
Zip	:	52591-1445
Country	:	US
Telephone Number	:	641-622-2543
Fax Number	:	641-622-2818

Provider Business Practice Location Address
First Line	:	621 N LINCOLN ST STE E
Second Line	:
City	:	KNOXVILLE
State	:	IA
Zip	:	50138-1532
Country	:	US
Telephone Number	:	641-842-7462
Fax Number	:	641-842-2769

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DAVID WILSON
Credential	:
Telephone Number	:	641-622-2543

Provider Enumeration Date	:	05/19/2008
Last Update Date	:	05/19/2008

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Directions to “FIRST RESOURCES CORP ” Practice Location

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