JENCO MEDICAL INC. NPI 1104047430

NPI Information

  • NPI: 1104047430
  • Provider Name: JENCO MEDICAL, INC.
  • Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
  • Specialization: Customized Equipment
  • Entity Type: Organization
  • Doing Business As: UTAH PROSTHETICS AND ORTHOTICS
  • Address: 1153 N MAIN ST
    SUITE B140
    LOGAN, UT
    ZIP 84341
  • Phone: (435) 750-6579

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NPI Details

JENCO MEDICAL, INC. is a customized equipment durable medical equipment medical supplies in Logan, UT. JENCO MEDICAL, INC. NPI is 1104047430. The provider is registered as an organization entity type.
The provider Is Doing Business As Utah Prosthetics And Orthotics.

The provider's business location address is:

1153 N MAIN ST
SUITE B140
LOGAN, UT
ZIP 84341-495
Phone: (435) 750-6579
Fax: (435) 750-6586

The provider's authorized official is Erin Colleen Childs .
The authorized official title is Office Manager and has the following contact phone number (801) 566-5795.

The enumeration date for this NPI number is 5/2/2007 and was last updated on 8/22/2020.

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 License Number License State Primary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentYes

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: 11/21/2025

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