Provider Demographics
NPI:1063403731
Name:FIRST-CALL MEDICAL INC
Entity type:Organization
Organization Name:FIRST-CALL MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:FLANAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-670-5399
Mailing Address - Street 1:28 ANDOVER ST
Mailing Address - Street 2:STE 200
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-4888
Mailing Address - Country:US
Mailing Address - Phone:800-274-5399
Mailing Address - Fax:978-670-5457
Practice Address - Street 1:28 ANDOVER ST
Practice Address - Street 2:STE 200
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-4888
Practice Address - Country:US
Practice Address - Phone:800-274-5399
Practice Address - Fax:978-670-5457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-02
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0805858Medicaid
MA0805858Medicaid
022669Medicare PIN
MAW67762Medicare UPIN