Provider Demographics
NPI:1932710225
Name:JONES COUNTY MEDICAL SUPPLIES, INC
Entity type:Organization
Organization Name:JONES COUNTY MEDICAL SUPPLIES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BRELAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-426-2574
Mailing Address - Street 1:PO BOX 23
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MS
Mailing Address - Zip Code:39441-0023
Mailing Address - Country:US
Mailing Address - Phone:601-426-2574
Mailing Address - Fax:601-518-6798
Practice Address - Street 1:6424 HWY 98 WEST
Practice Address - Street 2:SUITE 20
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402
Practice Address - Country:US
Practice Address - Phone:601-475-2290
Practice Address - Fax:601-475-2291
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JONES COUNTY MEDICAL SUPPLIES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-08-11
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies