Provider Demographics
NPI:1881030542
Name:JS MEDICAL SERVICES & CONSULTING
Entity Type:Organization
Organization Name:JS MEDICAL SERVICES & CONSULTING
Other - Org Name:JACKSON DISTRIBUTORS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:S
Authorized Official - Last Name:MOORING
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:520-338-8982
Mailing Address - Street 1:12378 S RACHEL LN
Mailing Address - Street 2:
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85193-6514
Mailing Address - Country:US
Mailing Address - Phone:520-338-8982
Mailing Address - Fax:866-841-1299
Practice Address - Street 1:12378 S RACHEL LN
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85193-6514
Practice Address - Country:US
Practice Address - Phone:520-338-8982
Practice Address - Fax:866-841-1299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-21
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ20994140332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies