Active NPI
Foundation Medical Staffing
- Exclusive Provider Organization
- Edmond, OK
National Provider Identifier
1497061469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- 35725
- 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 SERVICES
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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-Comphealth
- Part of
- CHG-Comphealth
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Edmond, OK
- NPI 1770792533
-
- Rehabilitation Hospital Unit
- Grand Rapids, MI
- NPI 1588974620
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.