Provider Demographics
NPI:1780615203
Name:JAMES MEDICAL RENTS & SALES, INC.
Entity type:Organization
Organization Name:JAMES MEDICAL RENTS & SALES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:A
Authorized Official - Last Name:CASTATOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-423-9571
Mailing Address - Street 1:7821 COLDWATER RD
Mailing Address - Street 2:UNIT A
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46825-3409
Mailing Address - Country:US
Mailing Address - Phone:260-423-9571
Mailing Address - Fax:260-423-6742
Practice Address - Street 1:7821 COLDWATER RD
Practice Address - Street 2:UNIT A
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46825-3409
Practice Address - Country:US
Practice Address - Phone:260-423-9571
Practice Address - Fax:260-423-6742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100181130AMedicaid
IN100181130AMedicaid