Jessa Medical Supply, Inc.

LBN: Jessa Medical Supply, Inc.
Jessa Medical Supply, Inc. is an health care organization with primary practice located at 235 Kentlands Blvd , Gaithersburg MD 20878-5446. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Jessa Medical Supply, Inc. can be contacted via phone (301) 990-8706, or through Aliyev, Muse via phone (301) 990-8706.

Contact Information

Primary practice address
235 Kentlands Blvd Gaithersburg MD 20878-5446
Phone: (301) 990-8706
Fax: (240) 631-7113
Website:
Map and Directions
Authorized official contact:
Name: Aliyev, Muse
Phone: (301) 990-8706

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X R1058 Maryland

Profile Details

NPI number 1720033913
LBN Legal business name Jessa Medical Supply, Inc.
DBA Doing business as
Authorized official Aliyev, Muse
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2006
Last updated Feb 27th, 2024 - about 7 months 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 1720033913 NPPES
Maryland MEDICAID 363570800
Maryland MEDICAID 009109668

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