1ST CLASS MEDICAL INC (NPI# 1538430616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538430616 |
| Entity Type | Organization |
| Organization Name | 1ST CLASS MEDICAL INC |
| Practice Address |
417 Sw Main Blvd Lake City FL 32025-5262 |
| Mailing Address |
Po Box 1543 Lake City FL 32056-1543 |
| Practice Telephone | 3866230397 |
| Mailing Telephone | 3866230397 |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2012-01-20 |
| Authorized Official Name | CALEB M UMSTEAD (MANAGER) |
| Authorized Official Telephone | 3866230397 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | 1ST CLASS MEDICAL INC | 417 Sw Main Blvd, Lake City, FL 32025-5262 |
| Virginia Business Entities | 1st CLASS MEDICAL INC. | 14631 Lee Hwy, Ste 414, Centreville, Virginia 20121 |
| Street Address |
417 SW MAIN BLVD |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32025-5262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1700352838 | Robert J Sansouci IIi IIi | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 | 2018-10-16 |
| 1316442783 | Emily Bailey | Developmental Therapist | 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 | 2018-03-28 |
| 1811446370 | Michelle Hart | Behavioral Analyst | 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 | 2016-09-26 |
| 1922467646 | Irene Aponte Moreno | Nurse Practitioner | 440 Sw Perimeter Glen, Lake City, FL 32025 | 2016-02-23 |
| 1093186777 | Decarlos Scippio | Counselor | 619 Sw Baya Drive Suite 102, Lake City, FL 32025 | 2015-10-07 |
| 1497132476 | Jamecia Legree | Registered Nurse | 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 | 2015-04-29 |
| 1306249149 | Mercy Home Assisted Living Facility LLC | Assisted Living Facility | 184 S.e. Beech Street, Lake City, FL 32025 | 2014-10-08 |
| 1598174344 | Karen Mcdonald | Developmental Therapist | 4523 Se County Road 252, Lake City, FL 32025 | 2014-08-06 |
| 1275944126 | Mohammad Ali Faisal Mdpa | Specialist | 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 | 2014-05-14 |
| Find all providers in zip 32025 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281881 | Gateway Prescription Center Inc | Durable Medical Equipment & Medical Supplies | 742 Se Baya Dr, Lake City, FL 32025-6079 | 2020-10-02 |
| 1699257717 | Copd Store Inc | Durable Medical Equipment & Medical Supplies | 2140 Sw Main Blvd, Lake City, FL 32025-0027 | 2018-09-05 |
| 1710201504 | Comfortcare Delight, LLC | Durable Medical Equipment & Medical Supplies | 156 Sw Celine Ct, Lake City, FL 32024-1253 | 2010-03-23 |
| 1508025990 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 457 Sw Perimeter Gln, Suite B, Lake City, FL 32025-0498 | 2008-06-02 |
| 1548433774 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 255 Nw Commons Loop, Lake City, FL 32055-7700 | 2008-04-09 |
| 1184895336 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 1960 South Morey Road, Lake City, MI 49651 | 2008-03-17 |
| 1548456957 | Lake City Home Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 1468 Sw Main Blvd, Suite 100, Lake City, FL 32025-1115 | 2007-09-19 |
| 1043418593 | Mediquip Rehabilitative Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 2084 Rex Rd, Suite 3, Lake City, GA 30260-3960 | 2007-07-06 |
| 1366509440 | Piggly Wiggly Lake City, Inc. | Durable Medical Equipment & Medical Supplies | 269 N Ron Mcnair Blvd, Lake City, SC 29560-2437 | 2007-01-02 |
| 1619043056 | Woodlawn Pharmacy | Durable Medical Equipment & Medical Supplies | 101 N Woodlawn Ave, Lake City, IA 51449-1723 | 2006-11-28 |
| Find all providers in LAKE CITY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.