Provider Demographics
NPI:1174258651
Name:JUNXION MED STAFFING LLC
Entity Type:Organization
Organization Name:JUNXION MED STAFFING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PAYROLL SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:KAYLEIGH
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-241-9798
Mailing Address - Street 1:2100 N MAIN ST STE 210
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76164-8575
Mailing Address - Country:US
Mailing Address - Phone:817-242-0300
Mailing Address - Fax:
Practice Address - Street 1:2100 N MAIN ST STE 210
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76164-8575
Practice Address - Country:US
Practice Address - Phone:817-242-0300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-19
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No174200000XOther Service ProvidersMeals
No177F00000XOther Service ProvidersLodging
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit
No283Q00000XHospitalsPsychiatric Hospital
No283X00000XHospitalsRehabilitation Hospital
No284300000XHospitalsSpecial Hospital
No2865M2000XHospitalsMilitary HospitalMilitary General Acute Care Hospital
No310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility