Provider Demographics
NPI:1639945058
Name:MEDI STAFF SOLUTIONS
Entity Type:Organization
Organization Name:MEDI STAFF SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TEMIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MC CONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-984-7707
Mailing Address - Street 1:555 HUBBARD AVE STE 15
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-3841
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:555 HUBBARD AVE STE 15
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-3841
Practice Address - Country:US
Practice Address - Phone:888-984-7707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376G00000XNursing Service Related ProvidersNursing Home AdministratorGroup - Multi-Specialty