CA Emergency Staffing Registry

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Requester Information

Contact Name

Phone

Regional Center:

Request Details

Provider Name:

Street Address:

City and State:

Zip Code:

County Where Home is Located:

Home's Direct Phone Number:

Classification of Home:

Classification of Home- Other:

Position Type:

Preferred Special Experience/Skills:To select more than one from the list, press and hold CTRL.

Special Skills – Non-English:

Reason for Request:

Reason for Request (Other):

Shift Date:

Shift Start:

Shift End:

The Columbus Organization

350 Sentry Parkway
Building 620, Suite 120
Blue Bell, PA 19422

Phone: (610) 592-0292
Toll Free: (800) 229-5116
Fax: (888) 379-2524
Email: info@columbusorg.com

Machine Readable Files: This link leads to the machine readable files that are made available in response to the federal Transparency in Coverage Rule and includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data

Our Commitment to Diversity

We are an Equal Opportunity Employer