Provider Demographics
NPI:1407085251
Name:DSC MEDICAL STAFFING
Entity Type:Organization
Organization Name:DSC MEDICAL STAFFING
Other - Org Name:DSC STAFFING SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR VP OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:FARMER JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-557-0606
Mailing Address - Street 1:PO BOX 90202
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85066
Mailing Address - Country:US
Mailing Address - Phone:602-557-0606
Mailing Address - Fax:
Practice Address - Street 1:6245 N 35TH AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85017-1455
Practice Address - Country:US
Practice Address - Phone:602-557-0606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-14
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ251J00000X, 251K00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care
No251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ=========Medicare Oscar/Certification