Jenco Medical, Inc.
Jenco Medical, Inc. is a healthcare organization registered as Customized Equipment (DME) in Logan, UT, holding Type 2 (organization) NPI 1104047430 since 2007. The authorized official on file is Erin Childs, Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104047430 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jenco Medical, Inc. |
| Other name | <Unavail> |
| Practice address | 1153 N MAIN ST, SUITE B140, Logan, UT, 84341 |
| Phone | 4357506579 |
| Fax | 4357506586 |
| Enumeration date | 2007-05-02 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Erin Childs |
|---|---|
| Title | Office Manager |
| Phone | 8015665795 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332BC3200X | Customized Equipment (DME) | Primary | — | — |
Copy-ready billing details
Provider: Jenco Medical, Inc. NPI: 1104047430 Taxonomy: 332BC3200X (Customized Equipment (DME)) Address: 1153 N MAIN ST, SUITE B140, Logan, UT, 84341
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1215038724 | Standard Optical Co | Organization | Optometrist | Logan, UT |
| 1851612725 | Jenco Prosthetics & Orthotics, LLC | Organization | Prosthetic/Orthotic Supplier | Logan, UT |
| 1255766820 | M. Andrew Johnson D.D.S. Lc | Organization | General Practice Dentistry | Logan, UT |
Verify this record
Cross-check NPI 1104047430 against the authoritative CMS record: view Jenco Medical, Inc. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Jenco Medical, Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.