Provider Demographics
NPI:1114903085
Name:FIRST CHOICE DME INC.
Entity Type:Organization
Organization Name:FIRST CHOICE DME INC.
Other - Org Name:FIRST CHOICE MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:GRAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-898-0005
Mailing Address - Street 1:2180 3RD ST.
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471
Mailing Address - Country:US
Mailing Address - Phone:985-898-0005
Mailing Address - Fax:985-989-4988
Practice Address - Street 1:2180 3RD ST.
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471
Practice Address - Country:US
Practice Address - Phone:985-898-0005
Practice Address - Fax:985-989-4988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA332BX2000X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5453210001Medicare ID - Type UnspecifiedMEDICARE
5453210001Medicare NSC