Provider Demographics
NPI:1043355480
Name:JMS HAND ASSOCIATES, S.C.
Entity Type:Organization
Organization Name:JMS HAND ASSOCIATES, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:M
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:217-875-4263
Mailing Address - Street 1:304 W HAY ST
Mailing Address - Street 2:SUITE 215
Mailing Address - City:DECATUR
Mailing Address - State:IL
Mailing Address - Zip Code:62526-6328
Mailing Address - Country:US
Mailing Address - Phone:217-875-4263
Mailing Address - Fax:217-872-5481
Practice Address - Street 1:304 W HAY ST
Practice Address - Street 2:SUITE 215
Practice Address - City:DECATUR
Practice Address - State:IL
Practice Address - Zip Code:62526-6328
Practice Address - Country:US
Practice Address - Phone:217-875-4263
Practice Address - Fax:217-872-5481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL4865370001OtherDURABLE MEDICAL EQUIPMENT