Provider Demographics
NPI:1639891765
Name:FIRST CLASS HEALTHCARE LLC
Entity Type:Organization
Organization Name:FIRST CLASS HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTNY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEGROS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-232-1195
Mailing Address - Street 1:2310 PARKLAKE DR NE STE 100
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30345-2967
Mailing Address - Country:US
Mailing Address - Phone:678-232-1195
Mailing Address - Fax:
Practice Address - Street 1:2900 UNIVERSITY PKWY
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-4588
Practice Address - Country:US
Practice Address - Phone:678-232-1195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-15
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization