Healthcare Provider Details

I. General information

NPI: 1346490158
Provider Name (Legal Business Name): MEDICAL STAFFING ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2008
Last Update Date: 05/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

659 3RD ST UPPER SUITE
BEAVER PA
15009-2115
US

IV. Provider business mailing address

659 3RD ST UPPER SUITE
BEAVER PA
15009-2115
US

V. Phone/Fax

Practice location:
  • Phone: 724-775-1118
  • Fax: 724-775-2375
Mailing address:
  • Phone: 724-775-1118
  • Fax: 724-775-2375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. ELIZABETH BUTERA
Title or Position: CFO/OWNER
Credential: CDP
Phone: 724-775-1118