Provider Demographics
NPI:1801941182
Name:CARE 1ST MEDICAL SOLUTIONS INC
Entity type:Organization
Organization Name:CARE 1ST MEDICAL SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:EBERLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-400-7568
Mailing Address - Street 1:PO BOX 16692
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37416-0692
Mailing Address - Country:US
Mailing Address - Phone:866-440-1350
Mailing Address - Fax:
Practice Address - Street 1:2600 WALKER RD STE 130
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-1116
Practice Address - Country:US
Practice Address - Phone:866-440-1350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1801941182Medicaid
OK200253030AMedicaid
SD9168190Medicaid
AL103900Medicaid
LA1883859Medicaid
ND55535Medicaid
KY7100049390Medicaid
MS4927738Medicaid
TN1455275Medicaid
AR177576716Medicaid
GA654845873AMedicaid
GA654845873AMedicaid