Jackson Hospital DME

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JACKSON HOSPITAL DME

Practice address

4295 3Rd Ave
Marianna, FL 32446-2120

Phone

(850) 482-0017

Fax

(850) 482-0018

NPI assigned

Nov 9, 2010

Organization subpart

No

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

Authorized official

Name

Lawrence R Meese Jr., CEO

Title

Administrator

Phone

(850) 526-2200

Specialties & licenses 1

Addresses

Other names 1

• Raymond M Bleday, MD Orthopedics Other name

Locations

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1689975583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 HOSPITAL DR",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324461917",
            "telephone_number": "850-526-2200",
            "fax_number": "850-718-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4295 3RD AVE",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324462120",
            "telephone_number": "850-482-0017",
            "fax_number": "850-482-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON HOSPITAL DME",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "MEESE",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-526-2200",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raymond M Bleday, MD Orthopedics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jackson County Hospital District
• Jackson County School Board
• Jackson County School District
• Jackson County School District
• Jackson County Transportation, Inc.
• Jackson-Calhoun Counseling Services, Inc
• Regina Jackson, LPN
• Jordan Jacques
• Holli Rae Jemison, ARNP
• Kristen W. Jenkins, APRN-C

• Durable Medical Equipment & Medical Supplies in Marianna, FL
• Providers in Marianna, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.