Provider Demographics
NPI:1154572287
Name:FIRST CALL MEDICAL EQUIPMENT, LLC
Entity type:Organization
Organization Name:FIRST CALL MEDICAL EQUIPMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WESAM
Authorized Official - Middle Name:SAM
Authorized Official - Last Name:SMIDI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:419-474-4627
Mailing Address - Street 1:2620 CENTENNIAL RD STE V
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43617-1849
Mailing Address - Country:US
Mailing Address - Phone:419-517-5030
Mailing Address - Fax:419-517-5032
Practice Address - Street 1:2620 CENTENNIAL RD STE V
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43617-1849
Practice Address - Country:US
Practice Address - Phone:419-517-5030
Practice Address - Fax:419-517-5032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-07
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHHMEL.11353332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH6186750001Medicare NSC