Provider Demographics
NPI:1639556079
Name:MCGEE HEALTHCARE STAFFING AGENCY LLC
Entity Type:Organization
Organization Name:MCGEE HEALTHCARE STAFFING AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DODIE
Authorized Official - Middle Name:D
Authorized Official - Last Name:MCGEE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:601-852-4888
Mailing Address - Street 1:3190 HIGHWAY 467
Mailing Address - Street 2:
Mailing Address - City:EDWARDS
Mailing Address - State:MS
Mailing Address - Zip Code:39066-4126
Mailing Address - Country:US
Mailing Address - Phone:601-852-4888
Mailing Address - Fax:
Practice Address - Street 1:3190 HIGHWAY 467
Practice Address - Street 2:
Practice Address - City:EDWARDS
Practice Address - State:MS
Practice Address - Zip Code:39066-4126
Practice Address - Country:US
Practice Address - Phone:601-852-4888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-06
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR829045343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)