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JACKSON MEDICAL SUPPLY
NPI 1104136126
Durable Medical Equipment & Medical Supplies in Woodland, CA

Active since October 08, 2010
604 MAIN ST, WOODLAND, CA 95695(530) 661-7409(530) 661-7345 Get Directions Write a Review

NPPES record last updated: October 8, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Medical Supply NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON MEDICAL SUPPLY (NPI 1104136126) is a healthcare organization registered as a durable medical equipment & medical supplies in Woodland, California and active in the NPI registry since October 2010. The organization lists Wendy Ann Wigmore, Owner Cfo, as its authorized official.

NPPES Registry Identity

NPI1104136126
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameJACKSON MEDICAL SUPPLY INC
Location Address604 MAIN STWoodland, CA 95695-3405
Mailing Address604 Main StWoodland, CA 95695-3405 · (530) 661-7409 · Fax (530) 661-7345
Phone(530) 661-7409
Fax(530) 661-7345
Organization SubpartYes
Authorized OfficialWendy Ann WigmoreOwner Cfo · (707) 446-7014
Enumeration DateOctober 8, 2010
✔ NPI 1104136126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in CA · 53312
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
604 MAIN ST, Woodland, CA 95695
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Other Names 1

Doing Business AsJackson Medical Supply

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WENDY A WIGMORE
Durable Medical Equipment & Medical Supplies
604 MAIN ST
WOODLAND, CA 95695
Yolo County (530) 661-7409

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Medical Supply Inc's NPI number?

The NPI number for Jackson Medical Supply Inc is 1104136126. It was assigned to this organization in the NPPES registry on October 8, 2010. The provider is doing business as Jackson Medical Supply.

Where is Jackson Medical Supply Inc located?

Jackson Medical Supply Inc is located at 604 Main St, Woodland, CA 95695. The listed phone number is (530) 661-7409.

What is Jackson Medical Supply Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Jackson Medical Supply Inc was last updated on October 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.