MEDICARE: HEALTHFIRST PRIMARY CARE, 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	261Q00000X	Clinic/Center
2	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1740802156
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHFIRST PRIMARY CARE, INC

Provider Business Mailing Address
First Line	:	5850 BOYMEL DR STE 4
Second Line	:
City	:	FAIRFIELD
State	:	OH
Zip	:	45014-5500
Country	:	US
Telephone Number	:	502-233-3040
Fax Number	:	800-214-6418

Provider Business Practice Location Address
First Line	:	5850 BOYMEL DR STE 4
Second Line	:
City	:	FAIRFIELD
State	:	OH
Zip	:	45014-5500
Country	:	US
Telephone Number	:	502-233-3040
Fax Number	:	800-214-6418

Authorized Official
Title or Position	:	MANAGER
Name	:	STEVEN SMITH
Credential	:
Telephone Number	:	502-244-9859

Provider Enumeration Date	:	05/08/2020
Last Update Date	:	04/11/2023

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