Organization
JETT MEDICAL CO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONNIE J BARGER (OWNER)
(205) 481-9344
Entity
Organization
Contact information
Practice address
1209 LAKE DR SE STE 111, BESSEMER, AL 35022-6488
(205) 561-9572
(205) 481-9345
Mailing address
PO BOX 43566, BIRMINGHAM, AL 35243-0566
(205) 678-8807
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
585
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51526611
BLUE CROSS
AL
Enumeration date
04/18/2007
Last updated
03/12/2021
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