1982745485 NPI number — FIRST CHOICE MEDICAL STAFFING OF OHIO, INC

Table of content: (NPI 1982745485)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982745485 NPI number — FIRST CHOICE MEDICAL STAFFING OF OHIO, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FIRST CHOICE MEDICAL STAFFING OF OHIO, 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:
1982745485
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/12/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1457 W 117TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CLEVELAND
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44107-5101
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
216-221-4444
Provider Business Mailing Address Fax Number:
216-521-0950

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
FIRST CHOICE MEDICAL STAFFING OF OHIO, INC
Provider Second Line Business Practice Location Address:
9501 US HIGHWAY 250 STE 4
Provider Business Practice Location Address City Name:
MILAN
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44846-9377
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-626-9740
Provider Business Practice Location Address Fax Number:
419-626-6116
Provider Enumeration Date:
02/09/2007

Additional Information

Authorized Official

Authorized Official Last Name:
STERBEN
Authorized Official First Name:
CHRIS
Authorized Official Middle Name:
Authorized Official Title or Position:
QUALITY ASSURANCE
Authorized Official Telephone Number:
216-365-7821

Provider Taxonomy Codes

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

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

  • Identifier: 2099303 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0683HHN . This is a "LICENSE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




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