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NPI Code Detail

MEDICARE: JARCO, INC.

MEDICARE: JARCO, INC.
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
1332B00000XDurable Medical Equipment & Medical Supplies
2333600000XPharmacy018077MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
32613986OTHERMONCPDP

General Provider Information

NPI Number : 1467454629
Entity Type Code : Organization
Provider Name (Legal Business Name) : JARCO, INC.
Provider Business Mailing Address
First Line : 6 E SPRINGFIELD RD
Second Line :
City : SULLIVAN
State : MO
Zip : 63080-1310
Country : US
Telephone Number : 573-468-6464
Fax Number : 573-468-5204
Provider Business Practice Location Address
First Line : 6 E SPRINGFIELD RD
Second Line :
City : SULLIVAN
State : MO
Zip : 63080-1310
Country : US
Telephone Number : 573-468-6464
Fax Number : 573-468-5204
Authorized Official
Title or Position : MANAGER
Name : MRS. JARI DAWSON
Credential :
Telephone Number : 573-468-6464
Provider Enumeration Date : 06/01/2005
Last Update Date : 09/14/2011

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Directions to “JARCO, INC. ” Practice Location

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