Provider Demographics
NPI:1356373955
Name:1ST HEALTH MEDICAL EQUIPMENT
Entity type:Organization
Organization Name:1ST HEALTH MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:EDMINSTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:636-225-3030
Mailing Address - Street 1:30 MERAMEC VALLEY PLZ
Mailing Address - Street 2:
Mailing Address - City:VALLEY PARK
Mailing Address - State:MO
Mailing Address - Zip Code:63088-2112
Mailing Address - Country:US
Mailing Address - Phone:636-923-4397
Mailing Address - Fax:636-225-3516
Practice Address - Street 1:30 MERAMEC VALLEY PLZ
Practice Address - Street 2:
Practice Address - City:VALLEY PARK
Practice Address - State:MO
Practice Address - Zip Code:63088-2112
Practice Address - Country:US
Practice Address - Phone:636-923-4397
Practice Address - Fax:636-225-3516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO17143110332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1298740001Medicare NSC