Organization Active NPI

Foundation Medical Staffing

  • Exclusive Provider Organization
  • Edmond, OK
National Provider Identifier
1497061469
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
35725 Issued in CA
Legal business name
FOUNDATION MEDICAL STAFFING
Practice address
416 W 15TH St Ste 600
Edmond, OK 73013-3672
Phone
(800) 774-9251
NPI assigned
Aug 27, 2010
Organization subpart
Yes
Parent organization
CHG HEALTHCARE SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark Jacobs
Title
Director of Operations
Phone
(800) 774-9251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 35725 CA Primary

Addresses

Primary practice location

416 W 15TH St Ste 600
Edmond, OK 73013-3672

Mailing address

416 W 15TH St Ste 600
Edmond, OK 73013-3672

National Provider Directory

National Provider Directory
Tax ID family
CHG-Comphealth3 organizations share this tax ID, including this one
Part of
CHG-Comphealth

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

416 W 15th St
Ste 600
Edmond, OK 73013
Phone (405) 562-6072

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1497061469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 W 15TH ST STE 600",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 W 15TH ST STE 600",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133672",
            "telephone_number": "800-774-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION MEDICAL STAFFING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHG HEALTHCARE SERVICES",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "800-774-9251"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "35725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.