Organization Active NPI

Foundation Medical Staffing

  • Skilled Nursing Facility
  • Edmond, OK
National Provider Identifier
1770792533
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
56007952 Issued in LA
Legal business name
FOUNDATION MEDICAL STAFFING
Practice address
416 W 15TH St
Building 700
Edmond, OK 73013-3747
Phone
(405) 285-2868
Fax
(405) 285-0367
NPI assigned
May 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Allison Gonzalez, OTNPI 1982809000
Title
Traveling Occupational Therapist
Phone
(504) 481-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 56007952 LA Primary

Addresses

Primary practice location

416 W 15TH St
Building 700
Edmond, OK 73013-3747

Mailing address

416 W. 15TH Buliding 700
Edmond, OK 73013
Phone (405) 285-2868

Other names 1

  • CHG Health Care Inc. Former legal business name

National Provider Directory

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

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770792533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 W. 15TH BULIDING 700",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73013",
            "telephone_number": "405-285-2868",
            "fax_number": "405-285-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 W 15TH ST",
            "address_2": "BUILDING 700",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133747",
            "telephone_number": "405-285-2868",
            "fax_number": "405-285-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION MEDICAL STAFFING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "TRAVELING OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "504-481-9800",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "56007952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHG Health Care Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 22, 2020; 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.