Provider Demographics
NPI:1356321723
Name:PROFESSIONAL MEDICAL STAFFING
Entity Type:Organization
Organization Name:PROFESSIONAL MEDICAL STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:TODD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-365-7402
Mailing Address - Street 1:PO BOX 87
Mailing Address - Street 2:
Mailing Address - City:MC KINNEY
Mailing Address - State:KY
Mailing Address - Zip Code:40448-0087
Mailing Address - Country:US
Mailing Address - Phone:606-365-7402
Mailing Address - Fax:606-365-9282
Practice Address - Street 1:86 HILLTOP LN
Practice Address - Street 2:
Practice Address - City:STANFORD
Practice Address - State:KY
Practice Address - Zip Code:40484-8414
Practice Address - Country:US
Practice Address - Phone:606-365-7402
Practice Address - Fax:606-365-9282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health