Provider Demographics
NPI:1265594956
Name:JS GARMON ENTERPRISES INC
Entity type:Organization
Organization Name:JS GARMON ENTERPRISES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:J
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:GARMON
Authorized Official - Suffix:
Authorized Official - Credentials:CPED
Authorized Official - Phone:828-328-9844
Mailing Address - Street 1:242 UNION SQ NW
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-6110
Mailing Address - Country:US
Mailing Address - Phone:828-328-9844
Mailing Address - Fax:828-324-4059
Practice Address - Street 1:242 UNION SQ NW
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-6110
Practice Address - Country:US
Practice Address - Phone:828-328-9844
Practice Address - Fax:828-324-4059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-16
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7795233Medicaid
NC046Y5OtherBLUE CROSS BLUE SHIELD
NC7704439Medicaid
NC7704439Medicaid