Provider Demographics
NPI:1275033383
Name:NURSES HEART MEDICAL STAFFING
Entity Type:Organization
Organization Name:NURSES HEART MEDICAL STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:TEAGUE
Authorized Official - Suffix:JR
Authorized Official - Credentials:PARAMEDIC, LPN
Authorized Official - Phone:614-648-5111
Mailing Address - Street 1:1100 MORSE RD STE 103
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-6331
Mailing Address - Country:US
Mailing Address - Phone:614-648-5111
Mailing Address - Fax:614-985-7315
Practice Address - Street 1:1100 MORSE RD STE 103
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-6331
Practice Address - Country:US
Practice Address - Phone:614-648-5111
Practice Address - Fax:614-985-7315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-15
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3416A0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport