MEDICARE: JUNXION MED STAFFING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	174200000X	Meals Provider
2	177F00000X	Lodging Provider
3	251E00000X	Home Health Agency
4	251G00000X	Community Based Hospice Care Agency
5	261QA1903X	Ambulatory Surgical Clinic/Center
6	261QH0100X	Health Service Clinic/Center
7	261QM1300X	Multi-Specialty Clinic/Center
8	276400000X	Substance Use Disorder Rehabilitation Hospital Unit
9	283Q00000X	Psychiatric Hospital
10	283X00000X	Rehabilitation Hospital
11	284300000X	Special Hospital
12	2865M2000X	Military General Acute Care Hospital
13	310500000X	Mental Illness Intermediate Care Facility
14	313M00000X	Nursing Facility/Intermediate Care Facility
15	282N00000X	General Acute Care Hospital

General Provider Information

NPI Number	:	1174258651
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUNXION MED STAFFING LLC

Provider Business Mailing Address
First Line	:	2100 N MAIN ST STE 210
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76164-8575
Country	:	US
Telephone Number	:	817-242-0300
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 N MAIN ST STE 210
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76164-8575
Country	:	US
Telephone Number	:	817-242-0300
Fax Number	:

Authorized Official
Title or Position	:	PAYROLL SPECIALIST
Name	:	KAYLEIGH MOORE
Credential	:
Telephone Number	:	817-241-9798

Provider Enumeration Date	:	07/19/2022
Last Update Date	:	07/19/2022

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Directions to “JUNXION MED STAFFING LLC ” Practice Location

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