Jackson Medical Equipment, Inc.

LBN: Jackson Medical Equipment, Inc.
Jackson Medical Equipment, Inc. is an health care organization with primary practice located at 982 Thomas Ave , Saint Paul MN 55104-2638. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Jackson Medical Equipment, Inc. can be contacted via phone (651) 645-6221, or through Pittman, Joel via phone (651) 645-6221.

Contact Information

Primary practice address
982 Thomas Ave Saint Paul MN 55104-2638
Phone: (651) 645-6221
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pittman, Joel
Phone: (651) 645-6221

Health care specialties

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

Profile Details

NPI number 1003870957
LBN Legal business name Jackson Medical Equipment, Inc.
DBA Doing business as
Authorized official Pittman, Joel
Entity Organization
Organization subpart 1 No
Enumeration date Apr 15th, 2006
Last updated May 28th, 2010 - about 16 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 1003870957 NPPES
Minnesota Other 32719 HEALTHPARTNERS
Minnesota MEDICAID 345563700 HEALTHPARTNERS
Minnesota Other 8283840 HEALTHPARTNERS
Minnesota Other 107274 HEALTHPARTNERS
Minnesota Other 61989ME HEALTHPARTNERS
Minnesota Other 7007575 HEALTHPARTNERS

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