Basic Information
| Provider Information | |||||||||
| NPI: | 1760889034 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MAS MEDICAL STAFFING | ||||||||
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| Mailing Information | |||||||||
| Address1: | 156 HARVEY RD | ||||||||
| Address2: | |||||||||
| City: | LONDONDERRY | ||||||||
| State: | NH | ||||||||
| PostalCode: | 030537449 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8006576517 | ||||||||
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| Practice Location | |||||||||
| Address1: | 510 CENTENNIAL CIR | ||||||||
| Address2: | |||||||||
| City: | NORTH PLATTE | ||||||||
| State: | NE | ||||||||
| PostalCode: | 691016586 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3085347000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/02/2014 | ||||||||
| LastUpdateDate: | 12/02/2014 | ||||||||
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| AuthorizedOfficialLastName: | WOODMAN | ||||||||
| AuthorizedOfficialFirstName: | KATHRINE | ||||||||
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| AuthorizedOfficialTitleorPosition: | QUALITY ASSURANCE SPECIALIST | ||||||||
| AuthorizedOfficialTelephone: | 8006576517 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 320700000X | 1355 | NE | Y | Residential Treatment Facilities | Residential Treatment Facility, Physical Disabilities |
No ID Information.