Jackson Medical Supply Inc

LBN: Jackson Medical Supply Inc
Jackson Medical Supply Inc is an health care organization with primary practice located at 506 Main St , Vacaville CA 95688-3922. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Jackson Medical Supply Inc can be contacted via phone (707) 446-7014, or through Wigmore, Wendy Ann via phone (707) 446-7014.

Contact Information

Primary practice address
506 Main St Vacaville CA 95688-3922
Phone: (707) 446-7014
Fax: (707) 446-1871
Website:
Map and Directions
Authorized official contact:
Name: Wigmore, Wendy Ann Registered Nurse (RN)
Phone: (707) 446-7014

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 103834 California

Profile Details

NPI number 1386974491
LBN Legal business name Jackson Medical Supply Inc
DBA Doing business as
Authorized official Wigmore, Wendy Ann Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2010
Last updated Jun 29th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386974491 NPPES
California MEDICAID 03183F

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