Provider Demographics
NPI:1821047275
Name:SCOTTSDALE FIRST ASSIST, INC.
Entity Type:Organization
Organization Name:SCOTTSDALE FIRST ASSIST, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KURT
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:CRNFA
Authorized Official - Phone:480-945-3125
Mailing Address - Street 1:PO BOX 6555
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85261-6555
Mailing Address - Country:US
Mailing Address - Phone:480-945-3125
Mailing Address - Fax:480-947-4543
Practice Address - Street 1:7328 E TUCKEY LN
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85250-4530
Practice Address - Country:US
Practice Address - Phone:480-945-3125
Practice Address - Fax:480-947-4543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN063926163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-SurgicalGroup - Single Specialty