JONES COUNTY MEDICAL SUPPLIES, INC (NPI# 1639133994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639133994 |
Entity Type | Organization |
Organization Name | JONES COUNTY MEDICAL SUPPLIES, INC |
Other Organization Name | COVINGTON COUNTY MEDICAL SUPPLY |
Practice Address |
205 Main St Collins MS 39428 |
Mailing Address |
Po Box 23 Laurel MS 39441-0023 |
Practice Telephone | 6017653277 |
Practice Fax Number | 6017653270 |
Mailing Telephone | 6014262574 |
Mailing Fax Number | 6016493185 |
Enumeration Date | 2006-04-13 |
Last Update Date | 2019-01-28 |
Authorized Official Name | MR. CLAYTON E JOHNSON (CEO) |
Authorized Official Telephone | 6017653277 |
Is Organization Subpart | Y |
Parent Organization Name | JONES COUNTY MEDICAL SUPPLIES, INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 05998/11.1 | MS | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | UNITED HEALTHCARE | 823006 | 01 |
MS | 02158231 | 05 |
Other Name | Type Code |
---|---|
COVINGTON COUNTY MEDICAL SUPPLY | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
1104232974 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 709 Azalea Dr, Waynesboro, MS 39367-2718 | 2014-07-01 |
1467415414 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 1301 S 28th Ave, Hattiesburg, MS 39402-3106 | 2006-04-10 |
1144280041 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 104 S 13th Ave, Laurel, MS 39440-4112 | 2006-03-24 |
1558756288 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 865 E Broad St, Monticello, MS 39654-7711 | 2015-03-31 |
Street Address |
205 MAIN ST |
City | COLLINS |
State | MS |
Zip Code | 39428 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568089977 | Kaitlin Johnson Hinton | Nurse Practitioner | 3275 Us 49 E, Collins, MS 39428 | 2020-07-01 |
1366075236 | Pine Ridge Family Clinic, LLC | Nurse Practitioner | 3248 Highway 49, Collins, MS 39428 | 2020-02-19 |
1245874981 | Kim Michelle Stubbs | Nurse Practitioner | 77 Cmj Drive, Collins, MS 39428 | 2019-11-06 |
1558911800 | William Clyde Saulters | Technician | 749 Seminary Mike Conner Rd, Collins, MS 39428 | 2019-09-18 |
1053862524 | Southeast Mississippi Rural Health Initiative, Inc. | Clinic/Center | 104 Carver Drive, Collins, MS 39428 | 2016-10-20 |
1205180718 | Angela M Kelly | Occupational Therapist | 3261 Hwy 49 South, Va State Home/collins, Collins, MS 39428 | 2012-11-06 |
1184973737 | Stephen Caleb Williamson | Pharmacist | 801 Main Street, Collins, MS 39428 | 2012-08-29 |
1760749691 | Christy Leggett | Occupational Therapy Assistant | 29 Martin Ln, Collins, MS 39428 | 2012-04-17 |
1013205350 | Covington County Hospital | Clinic/Center | 3275 Hwy 49, Suite E, Collins, MS 39428 | 2011-07-20 |
1225351562 | Covington County School District | Local Education Agency (LEA) | 1211 South Dogwood Avenue, Collins, MS 39428 | 2010-03-01 |
Find all providers in zip 39428 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801292214 | Executive Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 209 N Fir Ave, Collins, MS 39428-9998 | 2014-11-12 |
1336239854 | C & C Drugs Inc | Durable Medical Equipment & Medical Supplies | 204 Main St, Collins, MS 39428-0327 | 2006-10-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730799982 | The Medical Store, Inc. | Durable Medical Equipment & Medical Supplies | 210 Canal Pl, Philadelphia, MS 39350-8909 | 2020-08-03 |
1720605215 | M&s Medical | Durable Medical Equipment & Medical Supplies | 181 Highway 334, Oxford, MS 38655-9402 | 2020-06-30 |
1972126407 | Reliant Home Medical Supplies and Equipment LLC | Durable Medical Equipment & Medical Supplies | 134 E Commerce St, Aberdeen, MS 39730-2710 | 2020-05-19 |
1124648860 | Orthospine Dme, LLC | Durable Medical Equipment & Medical Supplies | 5315 Old Highway 11 Ste 4, Hattiesburg, MS 39402-6224 | 2020-04-23 |
1891325015 | Joseph Anthony Coursey | Durable Medical Equipment & Medical Supplies | 2111 28th St Ste C1, Gulfport, MS 39501-4934 | 2020-01-16 |
1831732593 | Teketra Evans | Durable Medical Equipment & Medical Supplies | 39 E Zion Rd, Wiggins, MS 39577-5000 | 2019-10-24 |
1619535515 | Magnolia Drugs Inc | Durable Medical Equipment & Medical Supplies | 1757 Highway 178 West, Suite B, Myrtle, MS 38650 | 2019-06-05 |
1952864266 | Roy C Patton | Durable Medical Equipment & Medical Supplies | 305 Clinton Blvd, Clinton, MS 39056-5217 | 2019-04-12 |
1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
1881150324 | Coastal Pharmacy Services LLC | Durable Medical Equipment & Medical Supplies | 3417 Hardy St, Hattiesburg, MS 39402-1502 | 2019-02-20 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.