Provider Demographics
NPI:1851821946
Name:MEDICAL CHOICE INC
Entity Type:Organization
Organization Name:MEDICAL CHOICE INC
Other - Org Name:AUGUSTUS KORMAH
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AUGUSTUS
Authorized Official - Middle Name:B
Authorized Official - Last Name:KORMAH
Authorized Official - Suffix:
Authorized Official - Credentials:AUTHORIED
Authorized Official - Phone:774-279-6899
Mailing Address - Street 1:16 BROOKSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01602-1658
Mailing Address - Country:US
Mailing Address - Phone:774-279-6899
Mailing Address - Fax:
Practice Address - Street 1:16 BROOKSIDE AVE
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01602-1658
Practice Address - Country:US
Practice Address - Phone:774-279-6899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)