1376779348 NPI number — MSG STAFFING, INC

Table of content: (NPI 1376779348)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376779348 NPI number — MSG STAFFING, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MSG 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:
Provider Other Organization Name Type Code:
6
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:
1376779348
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/07/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
562 LINCOLN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WORCESTER
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01605-1916
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-799-6674
Provider Business Mailing Address Fax Number:
801-201-6674

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
51 UNION ST
Provider Second Line Business Practice Location Address:
SUITE 105
Provider Business Practice Location Address City Name:
WORCESTER
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01608-1194
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-799-7674
Provider Business Practice Location Address Fax Number:
508-799-6674
Provider Enumeration Date:
06/04/2009

Additional Information

Authorized Official

Authorized Official Last Name:
MAHIJIBHAI
Authorized Official First Name:
JAMAL
Authorized Official Middle Name:
RAJNI
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
508-799-7674

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: TX9L . This is a "TEMPORARY NURSING AGENCY REGISTRATION" identifier . This identifiers is of the category "OTHER".




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