Organization Active NPI

Jenco Medical and Mobility Inc

  • Durable Medical Equipment & Medical Supplies
  • North Vernon, IN
National Provider Identifier
1568570893
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000189761OtherINANTHEM

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.