Provider Demographics
NPI:1427155399
Name:FIRST BORN II, INC.
Entity type:Organization
Organization Name:FIRST BORN II, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:HANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-922-4306
Mailing Address - Street 1:5420 E BROADWAY BLVD
Mailing Address - Street 2:SUITE 224
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-3725
Mailing Address - Country:US
Mailing Address - Phone:520-745-5878
Mailing Address - Fax:520-745-1281
Practice Address - Street 1:5420 E BROADWAY BLVD
Practice Address - Street 2:SUITE 224
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-3725
Practice Address - Country:US
Practice Address - Phone:520-745-5878
Practice Address - Fax:520-745-1281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ0463140001Medicare NSC