Jacob Charles Carrell
Individual provider Active NPI Durable Medical Equipment & Medical Supplies · Safford, AZ
NPI 1003554197 · NPPES record last updated May 26, 2022
Key facts
- NPI
- 1003554197
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Practice address
- 421 W Main St
Safford, AZ 85546-2724 - Phone
- (928) 322-9166
- NPI assigned
- May 26, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
421 W Main St
Safford, AZ 85546-2724
Mailing address
3450 N Reed LN
Safford, AZ 85546-9585
Phone (928) 322-5493
Other providers in Safford, AZ
- Canyonlands Community Health Care
- Canyonlands Community Health Care
- Canyonlands Community Health Care
- Canyonlands Community Health Care
- Caring Connections for Special Needs, LLC
- Bart J Carter
- Megan Cash
- Central Dentistry
- Yvanna Chavez
- Tyler C Cheatham
All providers in Safford, AZ · Durable Medical Equipment & Medical Supplies in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.