Provider Demographics
NPI:1184953903
Name:FIRST AMERICAN MEDICAL SUPPLY COMPANY INC.
Entity type:Organization
Organization Name:FIRST AMERICAN MEDICAL SUPPLY COMPANY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:THORAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-563-7351
Mailing Address - Street 1:4824 BURNS ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48214-1277
Mailing Address - Country:US
Mailing Address - Phone:586-563-7351
Mailing Address - Fax:
Practice Address - Street 1:4824 BURNS ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48214-1277
Practice Address - Country:US
Practice Address - Phone:586-563-7351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-08
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition