Provider Demographics
NPI:1265427058
Name:FIRST CARE HEALTH PLLC
Entity type:Organization
Organization Name:FIRST CARE HEALTH PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:H
Authorized Official - Last Name:SATTERFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:423-337-5812
Mailing Address - Street 1:408 SWEETWATER VONORE RD
Mailing Address - Street 2:
Mailing Address - City:SWEETWATER
Mailing Address - State:TN
Mailing Address - Zip Code:37874-3025
Mailing Address - Country:US
Mailing Address - Phone:423-337-5812
Mailing Address - Fax:423-337-0453
Practice Address - Street 1:408 SWEETWATER VONORE RD
Practice Address - Street 2:
Practice Address - City:SWEETWATER
Practice Address - State:TN
Practice Address - Zip Code:37874-3025
Practice Address - Country:US
Practice Address - Phone:423-337-5812
Practice Address - Fax:423-337-0453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-17
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3686332BX2000X
TN397335E00000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3686OtherMANUFACTURER/WHOLESALER/DISTRIBUTOR - TN DEPT OF HEALTH - BOARD OF PHARMACY
TN397OtherHME LICENSE NUMBER - TN DEPT OF HEALTH - HEALTH CARE FACILITIES
4411574OtherNCPDP PROVIDER IDENTIFICATION NUMBER
TN3545290Medicaid
4411574OtherNCPDP PROVIDER IDENTIFICATION NUMBER