Provider Demographics
NPI:1760889034
Name:MAS MEDICAL STAFFING
Entity type:Organization
Organization Name:MAS MEDICAL STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:QUALITY ASSURANCE SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHRINE
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-657-6517
Mailing Address - Street 1:156 HARVEY RD
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-7449
Mailing Address - Country:US
Mailing Address - Phone:800-657-6517
Mailing Address - Fax:
Practice Address - Street 1:510 CENTENNIAL CIR
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-6586
Practice Address - Country:US
Practice Address - Phone:308-534-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-02
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1355320700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities