MEDICARE: JANZ MEDICAL SUPPLY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1205602695
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JANZ MEDICAL SUPPLY

Provider Business Mailing Address
First Line	:	275 OUTERBELT ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-1529
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7846 CINCINNATI DAYTON RD
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-2009
Country	:	US
Telephone Number	:	513-587-1468
Fax Number	:	513-731-4407

Authorized Official
Title or Position	:	ADMINISTRATIVE DIRECTOR
Name	:	JENNIFER SIMMS
Credential	:
Telephone Number	:	614-759-7700

Provider Enumeration Date	:	11/28/2023
Last Update Date	:	11/29/2023

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