JETHRO MEDICAL LLC NPI 1366855025

NPI Information

NPI: 1366855025
Provider Name: JETHRO MEDICAL, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332BN1400X
Entity Type: Organization

Specialization: Nursing Facility Supplies

Address:
2142 N FINE AVE
FRESNO, CA
ZIP 93727
Phone: (559) 307-3342
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JETHRO MEDICAL, LLC is a nursing facility supplies durable medical equipment medical supplies in Fresno, CA. JETHRO MEDICAL, LLC NPI is 1366855025. The provider is registered as an organization entity type.

The provider's business location address is:

2142 N FINE AVE
FRESNO, CA
ZIP 93727-513
Phone: (559) 307-3342
Fax: (559) 494-4900

The provider's authorized official is Michael Bernardoni .
The authorized official title is President and has the following contact phone number (559) 494-4900.

The enumeration date for this NPI number is 6/10/2014 and was last updated on 10/28/2014.

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
1	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies			No
2	332BN1400X	Durable Medical Equipment & Medical Supplies	Nursing Facility Supplies			Yes

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: 4/28/2024

NPI Synchronization or Removal

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