MADISON COUNTY MEDICAL EQUIPMENT INC NPI 1891922985

NPI Information

NPI: 1891922985
Provider Name: MADISON COUNTY MEDICAL EQUIPMENT INC

Doing Business As: JACKSON MEDICAL SUPPLY

Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
702 S GILBERT ST STE 110
IOWA CITY, IA
ZIP 52240
Phone: (319) 569-8888
Get Directions

MADISON COUNTY MEDICAL EQUIPMENT INC is an oxygen equipment and supplies durable medical equipment medical supplies in Iowa City, IA. MADISON COUNTY MEDICAL EQUIPMENT INC NPI is 1891922985. The provider is registered as an organization entity type.
The provider Is Doing Business As Jackson Medical Supply.

The provider's business location address is:

702 S GILBERT ST STE 110
IOWA CITY, IA
ZIP 52240-738
Phone: (319) 569-8888
Fax: (866) 769-8054

The provider's authorized official is Stephen P Griggs .
The authorized official title is Ceo, President and has the following contact phone number (407) 206-0040.

The CLIA number assigned to this NPI record is 16D0703976 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/16/2009 and was last updated on 12/5/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		No
2	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	No
3	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0207092	MEDICAID	IOWA
2	09162	OTHER	IOWA	BLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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