Jackson Medical Supply
LBN: Chisom Medical Group Llc.
Jackson Medical Supply is an health care organization with primary practice located at 129 E Mcdowell Rd , Jackson MS 39204-5719. The organization recently has only one registered license in Suppliers / Oxygen Equipment & Supplies, which is considered as the primary health care specialty.
Chisom Medical Group Llc. can be contacted via phone (601) 376-0855, or through Oguh, Sylvester Chukwuemeka via phone (601) 454-3878.
Contact Information
Primary practice address
129 E Mcdowell Rd
Jackson MS 39204-5719
Phone: (601) 376-0855
Fax: (601) 376-0854
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Oxygen Equipment & Supplies | 332BX2000X | 06365 / 11.1 | Mississippi |
Profile Details
NPI number | 1205895679 |
---|---|
LBN Legal business name | Chisom Medical Group Llc. |
DBA Doing business as | Jackson Medical Supply |
Authorized official | Oguh, Sylvester Chukwuemeka |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Mar 22nd, 2006 |
Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1205895679 | NPPES |
Mississippi | MEDICAID | 00172074 |
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