Provider Demographics
NPI:1437337102
Name:KAMCO MEDICAL STAFFING, INC.
Entity Type:Organization
Organization Name:KAMCO MEDICAL STAFFING, INC.
Other - Org Name:KAMCO MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BASHAYE
Authorized Official - Middle Name:SHARONE
Authorized Official - Last Name:WARFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-322-8890
Mailing Address - Street 1:1400 MERCANTILE LN
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LARGO
Mailing Address - State:MD
Mailing Address - Zip Code:20774
Mailing Address - Country:US
Mailing Address - Phone:301-322-8890
Mailing Address - Fax:301-322-8895
Practice Address - Street 1:1400 MERCANTILE LN
Practice Address - Street 2:SUITE 210
Practice Address - City:LARGO
Practice Address - State:MD
Practice Address - Zip Code:20774
Practice Address - Country:US
Practice Address - Phone:301-322-8890
Practice Address - Fax:301-322-8895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-05
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332BX2000X
MD16470800332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD414846100Medicaid
MD6019280001Medicare NSC
MD414846100Medicaid