Emergency Staffing Solutions Inc

Organization Active NPI Emergency Medicine Physician · Many, LA

NPI 1477590974 · NPPES record last updated Oct 10, 2019

Key facts

NPI
1477590974
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medicine Physician 207P00000X
Legal business name
EMERGENCY STAFFING SOLUTIONS INC
Practice address
240 Highland Dr
Many, LA 71449-3718
Phone
(318) 256-5691
NPI assigned
Jun 1, 2006
Organization subpart
No

Authorized official

Name
Mr. Ron Weiss
Title
Ceo
Phone
(866) 931-8882

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 27

Organizations listed as members of this organization in the National Provider Directory.

View all 27

Practitioners 347

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 347

Medicare participation

Medicare fee-for-service enrollment
Enrolled (5 enrollments) in LA, NM, TN, AL, WV

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20050610000177 LA Part B Supplier - Clinic/Group Practice 9830001650 Receives reassigned benefits from 123 practitioners
Practice locations: Bunkie, LA; Jena, LA; Kinder, LA; Mansfield, LA; Rayville, LA
O20070724000197 NM Part B Supplier - Clinic/Group Practice 9830001650 Receives reassigned benefits from 171 practitioners
Practice locations: Deming, NM; Gallup, NM; Silver City, NM; Truth Or Consequences, NM
O20120127000382 TN Part B Supplier - Clinic/Group Practice 9830001650 Receives reassigned benefits from 21 practitioners
Practice locations: Manchester, TN
O20120612000674 AL Part B Supplier - Clinic/Group Practice 9830001650 Receives reassigned benefits from 30 practitioners
Practice locations: Atmore, AL; Phenix City, AL; Valley, AL
O20151202000695 WV Part B Supplier - Clinic/Group Practice 9830001650 Receives reassigned benefits from 3 practitioners
Practice locations: Williamson, WV

National Provider Directory

Locations

319 E Josephine Ave
Frederick, OK 73542
Phone (580) 335-7545

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207P00000X Yes

Addresses

Primary practice location

240 Highland Dr
Many, LA 71449-3718

Mailing address

17304 Preston Rd Ste 1400
Dallas, TX 75252-5633
Phone (866) 931-8882

Other identifiers

IdentifierTypeStateIssuer
1446211MedicaidLA
1900H1388ZOtherLABC/BS

Other providers in Many, LA

All providers in Many, LA · Emergency Medicine Physician in Louisiana

Sources for this page

Verify at the official NPI Registry.