Provider Demographics
NPI:1346490158
Name:MEDICAL STAFFING ASSOCIATES, INC
Entity type:Organization
Organization Name:MEDICAL STAFFING ASSOCIATES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTERA
Authorized Official - Suffix:
Authorized Official - Credentials:CDP
Authorized Official - Phone:724-775-1118
Mailing Address - Street 1:659 3RD ST
Mailing Address - Street 2:UPPER SUITE
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-2115
Mailing Address - Country:US
Mailing Address - Phone:724-775-1118
Mailing Address - Fax:724-775-2375
Practice Address - Street 1:659 3RD ST
Practice Address - Street 2:UPPER SUITE
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-2115
Practice Address - Country:US
Practice Address - Phone:724-775-1118
Practice Address - Fax:724-775-2375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-29
Last Update Date:2012-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing Care
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101216813Medicaid