Provider Demographics
NPI:1669020582
Name:HEALTH FIRST MEDICAL CARE
Entity Type:Organization
Organization Name:HEALTH FIRST MEDICAL CARE
Other - Org Name:HEALTH FIRST MEDICAL CARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MR
Authorized Official - Prefix:DR
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:BUH
Authorized Official - Last Name:TAMAJONG
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:307-437-6833
Mailing Address - Street 1:2500 WRANGLE HILL RD STE 220
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-3837
Mailing Address - Country:US
Mailing Address - Phone:302-437-6833
Mailing Address - Fax:302-455-8550
Practice Address - Street 1:2500 WRANGLE HILL RD STE 220
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-3837
Practice Address - Country:US
Practice Address - Phone:302-437-6833
Practice Address - Fax:302-455-8550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-04
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty