Provider Demographics
NPI:1043515612
Name:PREFERRED MEDICAL STAFFING INC.
Entity Type:Organization
Organization Name:PREFERRED MEDICAL STAFFING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EUNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCKNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:1479-582-0000
Mailing Address - Street 1:908 E ROLLING HILLS DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-3428
Mailing Address - Country:US
Mailing Address - Phone:479-582-0000
Mailing Address - Fax:479-582-9002
Practice Address - Street 1:908 E ROLLING HILLS DR
Practice Address - Street 2:SUITE A
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-3428
Practice Address - Country:US
Practice Address - Phone:479-582-0000
Practice Address - Fax:479-582-9002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-12
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
No291U00000XLaboratoriesClinical Medical Laboratory
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty