Provider Demographics
NPI:1467774067
Name:FIRST RESPONSE MEDICAL SUPPLY AND EQUIPTMENT
Entity Type:Organization
Organization Name:FIRST RESPONSE MEDICAL SUPPLY AND EQUIPTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:POSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-746-7774
Mailing Address - Street 1:1701 OLD MINDEN RD
Mailing Address - Street 2:33
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-4800
Mailing Address - Country:US
Mailing Address - Phone:318-746-7774
Mailing Address - Fax:318-746-7211
Practice Address - Street 1:1701 OLD MINDEN RD
Practice Address - Street 2:33
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-4800
Practice Address - Country:US
Practice Address - Phone:318-746-7774
Practice Address - Fax:318-746-7211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-23
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies