Provider Demographics
NPI:1033217393
Name:ADVANCED FIRST-AID, INC
Entity Type:Organization
Organization Name:ADVANCED FIRST-AID, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:CARLOS
Authorized Official - Last Name:MENDOZA
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:612-325-3465
Mailing Address - Street 1:13260 MARIGOLD ST NW
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55448-1090
Mailing Address - Country:US
Mailing Address - Phone:612-325-3465
Mailing Address - Fax:763-427-4838
Practice Address - Street 1:13260 MARIGOLD ST NW
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55448-1090
Practice Address - Country:US
Practice Address - Phone:612-325-3465
Practice Address - Fax:763-427-4838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies