FIRST SOURCE CATHETER, INC.


Address: 1690 Redi Rd, Suite 400, Cumming, GA 30040-9704
Phone: 4708392904

FIRST SOURCE CATHETER, INC. (NPI# 1548700024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548700024
Entity Type Organization
Organization Name FIRST SOURCE CATHETER, INC.
Practice Address 1690 Redi Rd
Suite 400
Cumming
GA 30040-9704
Practice Telephone 4708392904
Practice Fax Number 4708392179
Mailing Telephone 4708392904
Enumeration Date 2017-03-02
Last Update Date 2018-03-26
Authorized Official Name CHRIS MALCOM (PRESIDENT)
Authorized Official Telephone 4708392904
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
GA 003199056A 05

Office Location

Street Address 1690 REDI RD
SUITE 400
City CUMMING
State GA
Zip Code 30040-9704

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Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497393508 Publix Super Markets, Inc. Durable Medical Equipment & Medical Supplies 5310 Matt Hwy, Cumming, GA 30028 2019-12-19
1699272765 The Kroger Co Durable Medical Equipment & Medical Supplies 5550 Bethelview Rd, Cumming, GA 30040 2018-04-06
1568984912 Wal-mart Stores East Lp Durable Medical Equipment & Medical Supplies 3655 Browns Bridge Rd, Cumming, GA 30028 2017-07-07
1104240886 Wal-mart Stores East Lp Durable Medical Equipment & Medical Supplies 2395 Peachtree Pkwy, Cumming, GA 30041-7227 2014-02-14
1598019002 Southern Medical Specialists, LLC Durable Medical Equipment & Medical Supplies 2535 Bent Creek Way, Cumming, GA 30041-6342 2012-11-06
1346537230 Custom Compression Consultants, LLC Durable Medical Equipment & Medical Supplies 4925 Ashbrooke Ct, Cumming, GA 30040-9092 2011-06-30
1255568630 North Georgia Medical Solutions Corp. Durable Medical Equipment & Medical Supplies 6325 Hawkins Drive, Cumming, GA 30028-7544 2009-06-12
1235365396 Ageless Design Inc. Durable Medical Equipment & Medical Supplies 3197 Trout Place Rd, Cumming, GA 30041-8260 2009-06-03
1457505760 Georgia Cvs Pharmacy, L.L.C. Durable Medical Equipment & Medical Supplies 4895 Post Rd., Cumming, GA 30040 2008-11-13
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Competitor

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City CUMMING
Zip Code 30040

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Dataset Information

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.

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