Jackson Medical Supply

LBN: Chisom Medical Group Llc.
Jackson Medical Supply is an health care organization with primary practice located at 129 E Mcdowell Rd , Jackson MS 39204-5719. The organization recently has only one registered license in Suppliers / Oxygen Equipment & Supplies, which is considered as the primary health care specialty. Chisom Medical Group Llc. can be contacted via phone (601) 376-0855, or through Oguh, Sylvester Chukwuemeka via phone (601) 454-3878.

Contact Information

Primary practice address
129 E Mcdowell Rd Jackson MS 39204-5719
Phone: (601) 376-0855
Fax: (601) 376-0854
Website:
Map and Directions
Authorized official contact:
Name: Oguh, Sylvester Chukwuemeka
Phone: (601) 454-3878

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Oxygen Equipment & Supplies 332BX2000X 06365 / 11.1 Mississippi

Profile Details

NPI number 1205895679
LBN Legal business name Chisom Medical Group Llc.
DBA Doing business as Jackson Medical Supply
Authorized official Oguh, Sylvester Chukwuemeka
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2006
Last updated Aug 22nd, 2020 - about 6 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 1205895679 NPPES
Mississippi MEDICAID 00172074

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