MEDICARE: JS MEDICAL SERVICES & CONSULTING

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	20994140	AZ

General Provider Information

NPI Number	:	1881030542
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JS MEDICAL SERVICES & CONSULTING

Provider Business Mailing Address
First Line	:	12378 S RACHEL LN
Second Line	:
City	:	CASA GRANDE
State	:	AZ
Zip	:	85193-6514
Country	:	US
Telephone Number	:	520-338-8982
Fax Number	:	866-841-1299

Provider Business Practice Location Address
First Line	:	12378 S RACHEL LN
Second Line	:
City	:	CASA GRANDE
State	:	AZ
Zip	:	85193-6514
Country	:	US
Telephone Number	:	520-338-8982
Fax Number	:	866-841-1299

Authorized Official
Title or Position	:	CFO
Name	:	MS. SARAH S MOORING
Credential	:	RN
Telephone Number	:	520-338-8982

Provider Enumeration Date	:	05/21/2013
Last Update Date	:	05/21/2013

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Directions to “JS MEDICAL SERVICES & CONSULTING ” Practice Location

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