Organization Active NPI

Jay Bee Medical Equipment Co.,Inc

  • Durable Medical Equipment & Medical Supplies
  • Dillon, SC
National Provider Identifier
1265480776
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JAY BEE MEDICAL EQUIPMENT CO.,INC
Practice address
203 W Harrison St
Dillon, SC 29536-3309
Phone
(843) 841-2503
Fax
(843) 841-2229
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Mortimer H Bernanke
Title
President
Phone
(843) 841-2503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X SC Primary

Addresses

Primary practice location

203 W Harrison St
Dillon, SC 29536-3309

Mailing address

203 W Harrison St
Dillon, SC 29536-3309
Phone (843) 841-2503

Other identifiers 1

IdentifierTypeStateIssuer
DM0900MedicaidSC

National Provider Directory

National Provider Directory

Locations

203 W Harrison St
Dillon, SC 29536
Phone (843) 506-1036

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265480776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W HARRISON ST",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295363309",
            "telephone_number": "843-841-2503",
            "fax_number": "843-841-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W HARRISON ST",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295363309",
            "telephone_number": "843-841-2503",
            "fax_number": "843-841-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY BEE MEDICAL EQUIPMENT CO.,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERNANKE",
        "authorized_official_first_name": "MORTIMER",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-841-2503",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DM0900",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dillon, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.