JENCO MEDICAL, INC. (NPI# 1639217862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639217862 |
| Entity Type | Organization |
| Organization Name | JENCO MEDICAL, INC. |
| Other Organization Name | UTAH PROSTHETICS AND ORTHOTICS |
| Practice Address |
7026 Commerce Park Dr Suite 2 Midvale UT 84047-1026 |
| Practice Telephone | 8015665795 |
| Practice Fax Number | 8015665790 |
| Mailing Telephone | 8015665795 |
| Mailing Fax Number | 8015665790 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MATTHEW R BRACKEN (OWNER PRESIDENT) |
| Authorized Official Telephone | 8015665795 |
| Authorized Official Credential | C P O |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
E99607 | UT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | SELECTHEALTH IHC | 103002163101 | 01 |
| UT | ALTIUS | 199033 | 01 |
| UT | 870299464008 | 05 |
| Other Name | Type Code |
|---|---|
| Utah Prosthetics and Orthotics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104047430 | Jenco Medical, Inc. | Durable Medical Equipment & Medical Supplies | 1153 N Main St, Suite B140, Logan, UT 84341-2495 | 2007-05-02 |
| Street Address |
7026 COMMERCE PARK DR SUITE 2 |
| City | MIDVALE |
| State | UT |
| Zip Code | 84047-1026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885096 | Wound Pros Utah | Durable Medical Equipment & Medical Supplies | 6975 Union Park Avenue, Suite 600, Cottonwood Heights, UT 84047 | 2020-09-12 |
| 1457965824 | Duy Danny Vo | Pharmacist | 7200 S State St, Midvale, UT 84047 | 2020-09-03 |
| 1619457314 | Tlcpo LLC | Counselor | 6975 Union Park Avenue Suite 600, Cottonwood Heights, UT 84047 | 2018-08-21 |
| 1700371606 | Heather Ivana Lawrence | Social Worker | 6856 700 E, Midvale, Ut 84047, Midvale,ut, UT 84047 | 2018-06-25 |
| 1285128942 | A&a Counseling | Counselor | 7602 S Main St, Midvale, UT 84047 | 2018-06-17 |
| 1396235339 | Hhalmid | Assisted Living Facility | 6968 S 700 E, Midvale, UT 84047 | 2018-05-15 |
| 1750879987 | Rosemarie Elaine Brinig | Counselor | 75 E. Ft. Union, C118, Midvale, UT 84047 | 2018-04-24 |
| 1861921140 | Olivia Devenport | Behavior Technician | 7434 S State Street, Midvale, UT 84047 | 2017-06-08 |
| 1376083071 | Marathon Health, LLC | Nurse Practitioner | 7259 South Bingham Junction, C/o Chg- Ut Health Center, Midvale, UT 84047 | 2017-02-28 |
| 1710436316 | Michael Naanes | Physical Therapist | 900 East 6900 South, Suite 100, Midvale, UT 84047 | 2016-09-25 |
| Find all providers in zip 84047 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265625859 | Quality of Life | Durable Medical Equipment & Medical Supplies | 7563 Main St, Midvale, UT 84047-7105 | 2007-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699304089 | Goal Pediatric Orthotics LLC | Durable Medical Equipment & Medical Supplies | 917 W 1630 N, Orem, UT 84057-8615 | 2020-04-07 |
| 1487292439 | Portable Walk-in Whirlpool Tub L.L.C. | Durable Medical Equipment & Medical Supplies | 5918 S 350 W, Murray, UT 84107-6981 | 2019-12-19 |
| 1013474303 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 310 E 4500 S Ste 110, Murray, UT 84107-4224 | 2019-02-23 |
| 1437631595 | Spainhower Dental Care PC | Durable Medical Equipment & Medical Supplies | 2112 N Hill Field Rd Ste 2a, Layton, UT 84041-4047 | 2018-09-05 |
| 1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
| 1790280816 | Stone Mountain Surgical, LLC | Durable Medical Equipment & Medical Supplies | 6804 S 1300 E, Cottonwood Heights, UT 84121-2882 | 2018-03-29 |
| 1790286433 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 1075 N Washington Blvd, Ogden, UT 84404-3605 | 2018-02-27 |
| 1295273548 | United Seating and Mobility LLC | Durable Medical Equipment & Medical Supplies | 2305 S Presidents Drive, Suite D, West Valley City, UT 84120-7342 | 2017-02-07 |
| 1588011688 | Eclipse Mobility, LLC | Durable Medical Equipment & Medical Supplies | 570 E 1700 S, 204, Clearfield, UT 84015-2360 | 2016-05-18 |
| 1902263700 | Jeffrey Anderson | Durable Medical Equipment & Medical Supplies | 420 S 100 E, Farmington, UT 84025-2276 | 2016-01-25 |
| Find all providers with the same taxonomy | ||||
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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.