Provider Demographics
NPI:1912284209
Name:HEALTH FIRST MEDICAL, LLC
Entity Type:Organization
Organization Name:HEALTH FIRST MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRED
Authorized Official - Middle Name:C
Authorized Official - Last Name:EDGE
Authorized Official - Suffix:
Authorized Official - Credentials:DCMD
Authorized Official - Phone:724-628-6677
Mailing Address - Street 1:1829 UNIVERSITY DRIVE
Mailing Address - Street 2:
Mailing Address - City:DUNBAR
Mailing Address - State:PA
Mailing Address - Zip Code:15431-9552
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1829 UNIVERSITY DRIVE
Practice Address - Street 2:
Practice Address - City:DUNBAR
Practice Address - State:PA
Practice Address - Zip Code:15431-9552
Practice Address - Country:US
Practice Address - Phone:724-628-6677
Practice Address - Fax:724-628-4611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-15
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007907L111N00000X
PADC002372L111N00000X
PADC004459L111N00000X
PADC007013L111N00000X
PAOS006021L207Q00000X
PAMD039571L208100000X
PAPT016740208100000X
PAPT018977208100000X
PAMA052345363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty