Organization
JACKSON HOME MEDICAL EQUIPMENT, INC.
Active
Other names
The Aumack Company
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. APRIL L. MODRESKI (DIRECTOR/OFFICER)
(517) 787-6910
Entity
Organization
Contact information
Practice address
807 S BROWN ST, JACKSON, MI 49203-1430
(517) 787-6910
(517) 782-8502
Mailing address
807 S BROWN ST, JACKSON, MI 49203-1430
(517) 787-6910
(517) 782-8502
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119550
GREAT LAKES HEALTH PLAN #
MI
01
—
1208
NORTHWOOD PROVIDER ID NUM
MI
05
—
3034728
—
MI
05
—
303472887
—
MI
01
—
52543
NORTHWOOD NPN PROVIDER ID
MI
01
—
540C81221
BCBS PROVIDER ID NUMBER
MI
Enumeration date
07/06/2006
Last updated
07/21/2022
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