JACKET MEDICAL SUPPLY, LLC (NPI# 1710545843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710545843 |
Entity Type | Organization |
Organization Name | JACKET MEDICAL SUPPLY, LLC |
Practice Address |
239 College St Gadsden AL 35901-4134 |
Practice Telephone | 8887770759 |
Mailing Telephone | 8887770759 |
Enumeration Date | 2019-06-04 |
Last Update Date | 2020-03-26 |
Authorized Official Name | MR. SKYLAR DEERMAN (MEMBER MANAGER) |
Authorized Official Telephone | 8887770759 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
Street Address |
239 COLLEGE ST |
City | GADSDEN |
State | AL |
Zip Code | 35901-4134 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972112878 | Rachel Hyatt | Counselor | 423 North 5th St, Gadsden, AL 35901 | 2020-07-27 |
1639651300 | Amy M Gorecki-kelley | Nurse Practitioner | 420 North Sixth Street Gadsden, Gadsden, AL 35901 | 2018-08-30 |
1659881829 | Fuller Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 412 S 3rd St Ste A, Gadsden, AL 35901 | 2017-10-02 |
1861901308 | Dana Calhoun | Counselor | 215 Walnut St Ste 2, Gadsden, AL 35901 | 2017-09-27 |
1104271857 | Prohealth Hospice-gadsden, LLC | Hospice Care, Community Based | 1115b Rainbow Drive, Gadsden, AL 35901 | 2016-05-02 |
1568801678 | Roseland Developmental Homes, LLC | Community/Behavioral Health | 404 Jacksonville Street, Gadsden, AL 35901 | 2013-06-21 |
1770875460 | Aniska Professional and Educational Services | Clinic/Center | 130 Aniska Drive, Gadsden, AL 35901 | 2011-05-12 |
1700186772 | Sam P. Spina | Hearing Instrument Specialist | 510 S. 3rd Street, Gadsden, AL 35901 | 2010-10-25 |
1588982573 | John Robert Walker | Anesthesiology | 200 Broad St Ste 300, Gadsden, AL 35901 | 2010-05-14 |
1316278880 | Partners Medical Clinic LLC | Family Medicine | 431 South 5th Street, Gadsden, AL 35901 | 2010-01-24 |
Find all providers in zip 35901 |
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 |
---|---|---|---|---|
1659881829 | Fuller Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 412 S 3rd St Ste A, Gadsden, AL 35901 | 2017-10-02 |
1699198556 | Stateserv Medical, LLC | Durable Medical Equipment & Medical Supplies | 2940 Highway 77, Gadsden, AL 35907-7601 | 2014-01-29 |
1831405588 | Parks Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 825 W Meighan Blvd, Gadsden, AL 35901-3300 | 2010-08-19 |
1932270600 | New You LLC | Durable Medical Equipment & Medical Supplies | 436 Chestnut St, Gadsden, AL 35901-4238 | 2006-11-13 |
1699878322 | Alabama Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2608 W. Meighan Blvd, Gadsden, AL 35904-1714 | 2006-09-07 |
1225041874 | Jerry D Rogers | Durable Medical Equipment & Medical Supplies | 300 Wall St, Gadsden, AL 35904-1938 | 2006-08-14 |
1154336410 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 107 E Meighan Blvd, Gadsden, AL 35903-1044 | 2006-07-29 |
1093729832 | Gadsden Regional Medical Center LLC | Durable Medical Equipment & Medical Supplies | 1601 W Meighan Blvd, Gadsden, AL 35901 | 2006-07-28 |
1114965209 | Campbell Medical | Durable Medical Equipment & Medical Supplies | 634 Broad St, Gadsden, AL 35901-3722 | 2006-06-02 |
1578513545 | Mct, Inc. | Durable Medical Equipment & Medical Supplies | 205 Broad St, Gadsden, AL 35901-3713 | 2006-05-11 |
Find all providers in GADSDEN |
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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.