Jackson Medical Services

LBN: Jackson Medical Services
Jackson Medical Services is an health care organization with primary practice located at 2930B Hilltop Mall Rd , Richmond CA 94806-1902. 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 Services can be contacted via phone (510) 222-1075, or through Jackson, Andrew via phone (510) 222-1075.

Contact Information

Primary practice address
2930B Hilltop Mall Rd Richmond CA 94806-1902
Phone: (510) 222-1075
Fax: (510) 222-1575
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Andrew
Phone: (510) 222-1075

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X DME02720F California

Profile Details

NPI number 1114929437
LBN Legal business name Jackson Medical Services
DBA Doing business as
Authorized official Jackson, Andrew
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2005
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 1114929437 NPPES
California MEDICAID DME02720F

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