STAR VALLEY MEDICAL (NPI# 1588688006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588688006 |
| Entity Type | Organization |
| Organization Name | STAR VALLEY MEDICAL |
| Other Organization Name | STAR VALLEY HOME OXYGEN |
| Practice Address |
180 North Main St Thayne WY 83127-9999 |
| Mailing Address |
Po Box 4156 Bedford WY 83112-0156 |
| Practice Telephone | 3078833445 |
| Practice Fax Number | 3078833472 |
| Mailing Telephone | 3078833445 |
| Mailing Fax Number | 3078833472 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2008-05-28 |
| Authorized Official Name | MRS. SUSAN OLSON-MILLER (OWNER) |
| Authorized Official Telephone | 3078833445 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 114866400 | 05 |
| Other Name | Type Code |
|---|---|
| Star Valley Home Oxygen | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STAR VALLEY MEDICAL CENTER | 901 Adams Street, Afton, WY 83110-9621 |
| Street Address |
180 NORTH MAIN ST |
| City | THAYNE |
| State | WY |
| Zip Code | 83127-9999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012383 | Susan M. Miner | Nurse Practitioner | 487 N. Main St. #2, Thayne, WY 83127 | 2020-10-27 |
| 1679118160 | Stephan Badgett | Social Worker | 383 N Main St, Thayne, WY 83127 | 2019-11-08 |
| 1629402078 | Kyle C Lancaster | Pharmacist | 118 Peterson Pkwy, Thayne, WY 83127 | 2013-08-21 |
| 1225478894 | Our Valley Pharmacy | Durable Medical Equipment & Medical Supplies | 118 Petersen Pkwy, Thayne, WY 83127 | 2013-06-27 |
| 1073892816 | Jennifer Suzanne Knowlton | Counselor | 383 N Main St, 2nd Floor, Thayne, WY 83127 | 2011-08-10 |
| 1619117348 | Access Hospice Care LLC | Home Health | 102293 Hwy 89, Thayne, WY 83127 | 2009-02-20 |
| 1801034475 | Access Home Care LLC | Home Health | 102293 Hyw 89 S, Thayne, WY 83127 | 2009-02-04 |
| 1528206661 | Scott M. Sessions | Chiropractor | 383 N Main Street, Suite 1, Thayne, WY 83127 | 2009-01-28 |
| 1518121748 | Sandra Marcoccia Sears | Social Worker | 624 Alpine Way, Star Valley Ranch, WY 83127 | 2008-07-16 |
| 1093984510 | Alliance Hospice of Star Valley | Hospice Care, Community Based | 63 Bridger Dr, Thayne, WY 83127 | 2008-02-28 |
| Find all providers in zip 83127 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972740397 | Star Valley Home Oxygen | Durable Medical Equipment & Medical Supplies | 118 S Main St, Thayne, WY 83127 | 2009-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669037115 | Alpine Medical | Durable Medical Equipment & Medical Supplies | 111 N Bent St, Powell, WY 82435-2711 | 2019-05-09 |
| 1225465701 | Aerocare Holdings, Inc. | Durable Medical Equipment & Medical Supplies | 1118 Logan Ave, Cheyenne, WY 82001 | 2013-09-30 |
| 1740521335 | Star Valley Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 472 N Washingon, Afton, WY 83110-1676 | 2013-03-07 |
| 1033463567 | Absolute Respiratory Care | Durable Medical Equipment & Medical Supplies | 2017 E 11th St, Cheyenne, WY 82001-5257 | 2012-11-06 |
| 1144550872 | Direct Health Solutions, LLC | Durable Medical Equipment & Medical Supplies | 220 E Broadway St., 2g, Jackson, WY 83001 | 2009-12-31 |
| 1083857619 | Braden Partners Lp | Durable Medical Equipment & Medical Supplies | 341 E E St, Ste 185, Casper, WY 82601-1984 | 2009-04-13 |
| 1861664328 | Central Wyoming Oxygen, LLC | Durable Medical Equipment & Medical Supplies | 340 East 'e' Street, Suite 160, Casper, WY 82601-0000 | 2008-03-25 |
| 1477671402 | Laramie Respiratory Service, LLC | Durable Medical Equipment & Medical Supplies | 255 N 3rd St, Laramie, WY 82072-3005 | 2007-03-27 |
| 1851429815 | Campbell County Hospital District | Durable Medical Equipment & Medical Supplies | 901 W 2nd St, Gillette, WY 82716-3404 | 2007-03-01 |
| 1528136728 | Centrad Healthcare LLC | Durable Medical Equipment & Medical Supplies | 419 N Fenway St, Casper, WY 82601-2134 | 2006-12-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on STAR VALLEY MEDICAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.