MEDICARE: ADVANCED PRACTICE INTEGRATED HEALTH STAFFING, INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	261QX0100X	Occupational Medicine Clinic/Center
3	363A00000X	Physician Assistant
4	363LC1500X	Community Health Nurse Practitioner
5	261QP2300X	Primary Care Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528680816
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED PRACTICE INTEGRATED HEALTH STAFFING, INC

Provider Business Mailing Address
First Line	:	5616 COLOMA RD
Second Line	:
City	:	COLOMA
State	:	MI
Zip	:	49038-9752
Country	:	US
Telephone Number	:	269-252-1394
Fax Number	:

Provider Business Practice Location Address
First Line	:	756 PIPESTONE ST STE 3
Second Line	:
City	:	BENTON HARBOR
State	:	MI
Zip	:	49022-4845
Country	:	US
Telephone Number	:	269-252-1394
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	LISA JANELLE WOLSKE
Credential	:	NP
Telephone Number	:	269-462-9587

Provider Enumeration Date	:	05/11/2020
Last Update Date	:	11/01/2021

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Directions to “ADVANCED PRACTICE INTEGRATED HEALTH STAFFING, INC ” Practice Location

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