Provider Demographics
NPI:1922391507
Name:FIRST CHOICE MEDICAL SUPPLY, INC
Entity Type:Organization
Organization Name:FIRST CHOICE MEDICAL SUPPLY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:ARFARAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-759-2520
Mailing Address - Street 1:PO BOX 66
Mailing Address - Street 2:
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-0066
Mailing Address - Country:US
Mailing Address - Phone:330-759-2520
Mailing Address - Fax:330-953-2675
Practice Address - Street 1:3000 BELMONT AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44505-1846
Practice Address - Country:US
Practice Address - Phone:330-759-2520
Practice Address - Fax:330-953-2675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-16
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0064387Medicaid
PA1012276200002Medicaid
OH354979OtherANTHEM BCBS
PA003012794OtherHIGHMARK BCBS
PA003012794OtherHIGHMARK BCBS