Provider Demographics
NPI:1700047933
Name:FIRST GLOBAL MEDICAL SUPPLY CORP
Entity Type:Organization
Organization Name:FIRST GLOBAL MEDICAL SUPPLY CORP
Other - Org Name:FIRST GLOBAL MEDICAL CORP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SALMA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEIKH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-268-5771
Mailing Address - Street 1:39880 VAN DYKE AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:STERLING HTS
Mailing Address - State:MI
Mailing Address - Zip Code:48313-4668
Mailing Address - Country:US
Mailing Address - Phone:586-268-5771
Mailing Address - Fax:586-268-4835
Practice Address - Street 1:39880 VANDYKE AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:STERLING HTS
Practice Address - State:MI
Practice Address - Zip Code:48313
Practice Address - Country:US
Practice Address - Phone:586-268-5771
Practice Address - Fax:586-268-4835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-20
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIB ME 0159881332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5459550001Medicare NSC