Organization
JONES COUNTY MEDICAL SUPPLIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLAYTON E JOHNSON II (CEO)
(601) 426-2574
Entity
Organization
Contact information
Practice address
104 S 13TH AVE, LAUREL, MS 39440-4112
(601) 426-2574
(601) 649-3185
Mailing address
PO BOX 23, LAUREL, MS 39441-0023
(601) 426-2574
(601) 649-3185
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
01723/11.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000011873
BCBS OF MS
MS
05
—
00040750
—
MS
01
—
615825
BCBS TRIGON
MS
01
—
8230006
UNITED HEALTHCARE
MS
01
—
870001329
CAHABA GOVERNMENT BENEFIT
MS
Enumeration date
03/24/2006
Last updated
05/08/2026
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