Jac Stores Inc in Virden - Durable Medical Equipment & Medical Supplies
Jac Stores Inc - NPI 1245411297
Jac Stores Inc is a Durable Medical Equipment & Medical Supplies in Virden, Illinois. Jac Stores Inc practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Jac Stores Inc is 1245411297. The last update date is 2008-04-20.
Jac Stores Inc's current location address is 105 E Jackson St, Virden, Illinois. You can contact this provider via phone number 2179654926 and fax number 2179655620. The mailing address for Jac Stores Inc is 105 E Jackson St, Virden, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jac Stores Inc |
|---|---|
| Address | 105 E Jackson St, Virden, Illinois |
| Phone Number | 2179654926 |
| Fax Number | 2179655620 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Falk David |
| Telephone Number | 2179654926 |
NPI Number Detail
| NPI Number | 1245411297 |
|---|---|
| Provider Enumeration Date | 2007-11-19 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 105 E Jackson St |
|---|---|
| City | Virden |
| State | Illinois (IL) |
| Post Code | 626901450 |
| Phone Number | 2179654926 |
| Fax Number | 2179655620 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
|
Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Jac Stores Inc?
The Jac Stores Inc has been issued the NPI (National Provider Identifier) 1245411297 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jac Stores Inc?
The Jac Stores Inc is physically situated at 105 E Jackson St, in the city of Virden, state of IL, with the postal code 626901450.
What is Jac Stores Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jac Stores Inc's specialized field of practice is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy code that categorizes this area of specialization is 332B00000X.
When did Jac Stores Inc receive its 1245411297 assignment?
The Jac Stores Inc was assigned its 1245411297 on 2007-11-19, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Jac Stores Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jac Stores Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-20.
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