NPIMap

Organization Active NPI

Premier Medical Staffing Services, LLC

  • Physical Disabilities Residential Treatment Facility
  • Milwaukee, WI
National Provider Identifier
1790180677
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
2014007209 Issued in MO
Legal business name
PREMIER MEDICAL STAFFING SERVICES, LLC
Practice address
10150 W National Ave
Suite 150
Milwaukee, WI 53227-2145
Phone
(414) 395-4485
NPI assigned
Nov 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Authorized official

Name
Jess McCann
Title
Healthcare Account Manager
Phone
(414) 395-4485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X 2014007209 MO Primary

Addresses

Primary practice location

10150 W National Ave
Suite 150
Milwaukee, WI 53227-2145

Mailing address

10150 W National Ave
Suite 150
Milwaukee, WI 53227-2145
Phone (414) 395-4485

National Provider Directory

National Provider Directory
Tax ID family
Premier Medical Staffing Services LLC3 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.

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1790180677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10150 W NATIONAL AVE",
            "address_2": "SUITE 150",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532272145",
            "telephone_number": "414-395-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 W NATIONAL AVE",
            "address_2": "SUITE 150",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532272145",
            "telephone_number": "414-395-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL STAFFING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "MCCANN",
        "authorized_official_first_name": "JESS",
        "authorized_official_title_or_position": "HEALTHCARE ACCOUNT MANAGER",
        "authorized_official_telephone_number": "414-395-4485"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "MO",
            "license": "2014007209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.