Provider Demographics
NPI:1225729510
Name:JONES MEDICAL SUPPLY, LLC
Entity Type:Organization
Organization Name:JONES MEDICAL SUPPLY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:C
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-566-1002
Mailing Address - Street 1:519 S BRUNDIDGE ST STE A
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:AL
Mailing Address - Zip Code:36081-3379
Mailing Address - Country:US
Mailing Address - Phone:334-566-1002
Mailing Address - Fax:334-566-1003
Practice Address - Street 1:4177 MONTGOMERY HWY STE 5
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36303-1588
Practice Address - Country:US
Practice Address - Phone:334-305-3199
Practice Address - Fax:334-305-3198
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JONES MEDICAL SUPPLY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-05-17
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51527525OtherBCBS OF AL