1407085251 NPI number — DSC MEDICAL STAFFING

Table of content: (NPI 1407085251)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407085251 NPI number — DSC MEDICAL STAFFING

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DSC MEDICAL STAFFING
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:
1407085251
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/14/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 90202
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PHOENIX
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85066
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
602-557-0606
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6245 N 35TH AVE
Provider Second Line Business Practice Location Address:
SUITE 5
Provider Business Practice Location Address City Name:
PHOENIX
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85017-1455
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-557-0606
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/14/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
FARMER JONES
Authorized Official First Name:
PAMELA
Authorized Official Middle Name:
JEAN
Authorized Official Title or Position:
SR VP OF OPERATIONS
Authorized Official Telephone Number:
602-557-0606

Provider Taxonomy Codes

  • Taxonomy code: 251J00000X , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251K00000X , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 253Z00000X , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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