Provider Demographics
NPI:1457874521
Name:COMPASSION MEDICAL STAFFING
Entity Type:Organization
Organization Name:COMPASSION MEDICAL STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:JORDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-381-3052
Mailing Address - Street 1:P.O. BOX 37
Mailing Address - Street 2:199 GIBSON
Mailing Address - City:CLARKS
Mailing Address - State:LA
Mailing Address - Zip Code:71415
Mailing Address - Country:US
Mailing Address - Phone:318-381-3052
Mailing Address - Fax:
Practice Address - Street 1:404 WALL ST.
Practice Address - Street 2:SUITE 8
Practice Address - City:COLUMBIA
Practice Address - State:LA
Practice Address - Zip Code:71418
Practice Address - Country:US
Practice Address - Phone:318-381-3052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-20
Last Update Date:2017-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty