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NPI Code Detail

MEDICARE: FOUNDATION MEDICAL STAFFING

MEDICARE: FOUNDATION MEDICAL STAFFING
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1302F00000XExclusive Provider Organization35725CA

General Provider Information

NPI Number : 1497061469
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOUNDATION MEDICAL STAFFING
Provider Business Mailing Address
First Line : 416 W 15TH ST STE 600
Second Line :
City : EDMOND
State : OK
Zip : 73013-3672
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 416 W 15TH ST STE 600
Second Line :
City : EDMOND
State : OK
Zip : 73013-3672
Country : US
Telephone Number : 800-774-9251
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF OPERATIONS
Name : MARK JACOBS
Credential :
Telephone Number : 800-774-9251
Provider Enumeration Date : 08/27/2010
Last Update Date : 08/27/2010

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Directions to “FOUNDATION MEDICAL STAFFING ” Practice Location

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