Provider Demographics
NPI:1962135525
Name:FIRSTCARE HEALTH SERVICES
Entity type:Organization
Organization Name:FIRSTCARE HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MYITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUMMERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-274-7229
Mailing Address - Street 1:21700 GREENFIELD RD STE 221
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-2888
Mailing Address - Country:US
Mailing Address - Phone:248-274-7229
Mailing Address - Fax:248-856-2905
Practice Address - Street 1:21700 GREENFIELD RD STE 221
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-2888
Practice Address - Country:US
Practice Address - Phone:248-274-7229
Practice Address - Fax:248-856-2905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-01
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center