Provider Demographics
NPI:1558394353
Name:RAYMOND D. JONES
Entity Type:Organization
Organization Name:RAYMOND D. JONES
Other - Org Name:TRIANGLE MOBILITY & MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:D
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-965-6900
Mailing Address - Street 1:3243 US HIGHWAY 70 E STE 202
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27577-8794
Mailing Address - Country:US
Mailing Address - Phone:919-965-6900
Mailing Address - Fax:919-965-6902
Practice Address - Street 1:3243 US HIGHWAY 70 E STE 202
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:NC
Practice Address - Zip Code:27577-8794
Practice Address - Country:US
Practice Address - Phone:919-965-6900
Practice Address - Fax:919-965-6902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7704265Medicaid
NC7704265Medicaid