1437337102 NPI number — KAMCO MEDICAL STAFFING, INC.

Table of content: (NPI 1437337102)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437337102 NPI number — KAMCO MEDICAL STAFFING, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KAMCO MEDICAL STAFFING, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
KAMCO MEDICAL
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437337102
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/28/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1400 MERCANTILE LN
Provider Second Line Business Mailing Address:
SUITE 210
Provider Business Mailing Address City Name:
LARGO
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20774
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-322-8890
Provider Business Mailing Address Fax Number:
301-322-8895

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1400 MERCANTILE LN
Provider Second Line Business Practice Location Address:
SUITE 210
Provider Business Practice Location Address City Name:
LARGO
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20774
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-322-8890
Provider Business Practice Location Address Fax Number:
301-322-8895
Provider Enumeration Date:
02/05/2008

Additional Information

Authorized Official

Authorized Official Last Name:
WARFIELD
Authorized Official First Name:
BASHAYE
Authorized Official Middle Name:
SHARONE
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
301-322-8890

Provider Taxonomy Codes

  • Taxonomy code: 332BX2000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BX2000X , with the licence number: 16470800 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 414846100 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".




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