Organization
JERNIGAN HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES E JERNIGAN (PRESIDENT/CEO)
(205) 631-1520
Entity
Organization
Contact information
Practice address
901 DECATUR HWY, FULTONDALE, AL 35068-1815
(205) 631-1520
(205) 631-1522
Mailing address
PO BOX 879, FULTONDALE, AL 35068-0879
(205) 631-1520
(205) 631-1522
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
182
AL
332BX2000X
Oxygen Equipment & Supplies (DME)
23573
AL
333600000X
Pharmacy
23756
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440281
—
MS
05
—
009508430
—
AL
01
—
510-50377
BLUE CROSS SUPPLIER
AL
Enumeration date
05/27/2005
Last updated
04/09/2008
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