Provider Demographics
NPI:1255508743
Name:JONES OXYGEN INC
Entity Type:Organization
Organization Name:JONES OXYGEN INC
Other - Org Name:JONES MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:MCGOUGH
Authorized Official - Last Name:CARLTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-382-9300
Mailing Address - Street 1:1609 E COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36037-3402
Mailing Address - Country:US
Mailing Address - Phone:334-382-9300
Mailing Address - Fax:334-382-9301
Practice Address - Street 1:1609 E COMMERCE ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:AL
Practice Address - Zip Code:36037-3402
Practice Address - Country:US
Practice Address - Phone:334-382-9300
Practice Address - Fax:334-382-9301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-13
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10646332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51549165OtherBLUE CROSS BLUE SHIELD
AL106197Medicaid
AL900681OtherALA. BOARD OF PHARMACY