Provider Demographics
NPI:1215482849
Name:PREMIER MEDICAL STAFFIN SERVICES
Entity type:Organization
Organization Name:PREMIER MEDICAL STAFFIN SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHERISE
Authorized Official - Middle Name:
Authorized Official - Last Name:STRZOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-755-4968
Mailing Address - Street 1:16134 BARRIER REEF CT
Mailing Address - Street 2:
Mailing Address - City:WILDWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63040-1815
Mailing Address - Country:US
Mailing Address - Phone:636-236-9631
Mailing Address - Fax:
Practice Address - Street 1:915 N GRAND BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63106-1621
Practice Address - Country:US
Practice Address - Phone:314-487-0400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-24
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016021904282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital