JETHRO MEDICAL, LLC
NPI 1366855025
Durable Medical Equipment & Medical Supplies - Nursing Facility Supplies in Fresno, CA

NPI Status: Active since June 10, 2014

Contact Information

2142 N FINE AVE
FRESNO, CA
ZIP 93727
Phone: (559) 307-3342
Fax: (559) 494-4900

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Nursing Facility Supplies

About JETHRO MEDICAL, LLC

This page provides the complete NPI Profile along with additional information for Jethro Medical, Llc, a provider established in Fresno, California operating as a Durable Medical Equipment & Medical Supplies, focusing in nursing facility supplies . The healthcare provider is registered in the NPI registry with number 1366855025 assigned on June 2014. The practitioner's primary taxonomy code is 332BN1400X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Michael Bernardoni (President)

NPI
1366855025
Provider Name
JETHRO MEDICAL, LLC
Entity Type
Organization
Location Address
2142 N FINE AVE FRESNO, CA 93727
Location Phone
(559) 307-3342
Location Fax
(559) 494-4900
Mailing Address
2142 N. FINE AVE. FRESNO, CA 93727
Mailing Phone
(559) 494-4900
Mailing Fax
(559) 494-4900
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-10-2014
Last Update Date
10-28-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies Nursing Facility Supplies

Taxonomy Code
332BN1400X
Type
Suppliers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332BX2000XSuppliers

Durable Medical Equipment & Medical Supplies
Oxygen Equipment & Supplies

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL BERNARDONI

Authorized Official Title
PRESIDENT
Authorized Official Phone
(559) 494-4900

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1366855025
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231261651004
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 1 + 6 + 5 + 1 + 0 + 0 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1366855025 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366855025, enumerated as an "organization" on June 10, 2014.

The provider is located at 2142 N FINE AVE FRESNO, CA 93727 and the phone number is (559) 307-3342.

Durable Medical Equipment & Medical Supplies with taxonomy code 332BN1400X and a focus in Nursing Facility Supplies.