OrganizationActive
Jackson Medical Supply Inc
NPI 1104136126 · Durable Medical Equipment & Medical Supplies · Woodland, CA
Provider details
- NPI number
- 1104136126
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Parent organization
- Jackson Medical Supply Inc
- Organization subpart
- Yes
- Authorized official
- Wendy Wigmore, Owner Cfo(707) 446-7014
- License
- 53312 (CA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
604 Main St
Woodland, CA 95695-3405
Phone: (530) 661-7409
Fax: (530) 661-7345
Street-level locationGet directions
Mailing address
604 Main St
Woodland, CA 95695-3405
Other names (DBA / former)
- Doing business as
- Jackson Medical Supply
Registry dates
- Enumerated
- 2010-10-08
- Last updated
- 2010-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.