Provider Demographics
NPI:1003231911
Name:NEED-A-NURSE MEDICAL STAFFING, LLC
Entity Type:Organization
Organization Name:NEED-A-NURSE MEDICAL STAFFING, LLC
Other - Org Name:FAMILY MEDICAL CLINIC OF CHUBBUCK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:BARLOW
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:208-251-6955
Mailing Address - Street 1:476 E CHUBBUCK RD
Mailing Address - Street 2:
Mailing Address - City:POCATELLO
Mailing Address - State:ID
Mailing Address - Zip Code:83202-1816
Mailing Address - Country:US
Mailing Address - Phone:208-251-6955
Mailing Address - Fax:208-232-8566
Practice Address - Street 1:476 E CHUBBUCK RD
Practice Address - Street 2:
Practice Address - City:POCATELLO
Practice Address - State:ID
Practice Address - Zip Code:83202-1816
Practice Address - Country:US
Practice Address - Phone:208-233-9898
Practice Address - Fax:208-232-8566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-28
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care