Russellville Podiatry Center

LBN: Jerry Jenkins Ii Dpm
Russellville Podiatry Center is an health care organization with primary practice located at 533 Gandy St Ne , Russellville AL 35653-1965. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Jerry Jenkins Ii Dpm can be contacted via phone (256) 331-3338, or through Jenkins, Jerry via phone (256) 331-3338.

Contact Information

Primary practice address
533 Gandy St Ne Russellville AL 35653-1965
Phone: (256) 331-3338
Fax: (256) 331-2890
Website:
Map and Directions
Authorized official contact:
Name: Jenkins, Jerry Doctor of Podiatric Medicine (DPM)
Phone: (256) 331-3338

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 221 Alabama

Profile Details

NPI number 1801069752
LBN Legal business name Jerry Jenkins Ii Dpm
DBA Doing business as Russellville Podiatry Center
Authorized official Jenkins, Jerry Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2008
Last updated Feb 4th, 2013 - about 11 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 1801069752 NPPES
Alabama MEDICAID DPM221

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