Provider Demographics
NPI:1437331303
Name:FIRST CHOICE FOR CONTINENCE INC
Entity Type:Organization
Organization Name:FIRST CHOICE FOR CONTINENCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AR MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EVA
Authorized Official - Middle Name:BLANCHE
Authorized Official - Last Name:GOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-770-9790
Mailing Address - Street 1:1220 MARLATT AVE
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-7310
Mailing Address - Country:US
Mailing Address - Phone:785-539-1787
Mailing Address - Fax:785-539-5600
Practice Address - Street 1:1220 MARLATT AVE
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-7310
Practice Address - Country:US
Practice Address - Phone:785-539-1787
Practice Address - Fax:785-539-5600
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FIRST CHOICE FOR CONTINENCE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-03
Last Update Date:2009-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS4419940001Medicare NSC