Provider Demographics
NPI:1427667781
Name:JANZ MEDICAL SUPPLY
Entity type:Organization
Organization Name:JANZ MEDICAL SUPPLY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:CHUCK
Authorized Official - Middle Name:
Authorized Official - Last Name:OLDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-878-2476
Mailing Address - Street 1:275 OUTERBELT ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-1529
Mailing Address - Country:US
Mailing Address - Phone:614-759-7700
Mailing Address - Fax:
Practice Address - Street 1:BUILDING 998 BOSTON RD
Practice Address - Street 2:IP27 9PN
Practice Address - City:BRANDON
Practice Address - State:ENGLAND
Practice Address - Zip Code:IP27 9PN
Practice Address - Country:GB
Practice Address - Phone:615-878-2476
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JANZ CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-23
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
3834467330OtherTRICARE SOS