Provider Demographics
NPI:1356994446
Name:SECURE MEDICAL STAFFING INC.
Entity type:Organization
Organization Name:SECURE MEDICAL STAFFING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-803-8358
Mailing Address - Street 1:25 N MARKET ST STE 241
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32202-2802
Mailing Address - Country:US
Mailing Address - Phone:904-803-8358
Mailing Address - Fax:
Practice Address - Street 1:25 N MARKET ST STE 241
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32202-2802
Practice Address - Country:US
Practice Address - Phone:904-803-8358
Practice Address - Fax:888-676-4449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-18
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty