Active NPI
Jenco Medical and Mobility Inc
- Durable Medical Equipment & Medical Supplies
- North Vernon, IN
National Provider Identifier
1568570893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- JENCO MEDICAL AND MOBILITY INC
- Practice address
- 2202 N Totten Cir
Ste a
North Vernon, IN 47265-6380 - Phone
- (812) 352-8440
- Fax
- (812) 352-8220
- NPI assigned
- Aug 28, 2006
- Last updated
- Mar 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jim Gholson
- Title
- President
- Phone
- (812) 352-8440
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2202 N Totten Cir
Ste a
North Vernon, IN 47265-6380
Mailing address
2202 N Totten Cir
Ste a
North Vernon, IN 47265-6380
Phone (812) 352-8440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000189761 | Other | IN | ANTHEM |
National Provider Directory
National Provider DirectoryLocations
2202 N Totten Cir
Ste A
North Vernon, IN 47265
Phone (812) 352-8440
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Dietitian
- Fort Walton Beach, FL
- NPI 1013173707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206057600000",
"number": "1568570893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 N TOTTEN CIR",
"address_2": "STE A",
"city": "NORTH VERNON",
"state": "IN",
"postal_code": "472656380",
"telephone_number": "812-352-8440",
"fax_number": "812-352-8220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 N TOTTEN CIR",
"address_2": "STE A",
"city": "NORTH VERNON",
"state": "IN",
"postal_code": "472656380",
"telephone_number": "812-352-8440",
"fax_number": "812-352-8220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENCO MEDICAL AND MOBILITY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-28",
"last_updated": "2008-03-21",
"status": "A",
"authorized_official_last_name": "GHOLSON",
"authorized_official_first_name": "JIM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "812-352-8440",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000189761",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Vernon, IN
- Indiana Emergency Physicians, LLP
- Indiana Physician Management-Jennings, LLC
- Integrated Health of Indiana Inc
- J Terry Frey DDS PC (Advanced Dental Care)
- Jackson County Schneck Memorial Hospital (Schneck Family Care of Jennings County)
- Jennings County Auditor (Jennings County EMS)
- Jennings County Chiropractic Clinic, P.C.
- Jennings County Schools
- Jennings County Wellcare PC
- Jennings Pharmacy, Inc. (Jennings Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.