VALLEY REGIONAL MEDICAL SUPPLY (NPI# 1770680803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770680803 |
| Entity Type | Organization |
| Organization Name | VALLEY REGIONAL MEDICAL SUPPLY |
| Practice Address |
518 3rd St La Salle IL 61301-2402 |
| Mailing Address |
518 3rd St Po Box 1134 La Salle IL 61301-2402 |
| Practice Telephone | 8152234422 |
| Practice Fax Number | 8152234429 |
| Mailing Telephone | 8152234422 |
| Mailing Fax Number | 8152234429 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. RACHEL A. CONDRON (PRESIDENT) |
| Authorized Official Telephone | 8152234422 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
IL | Suppliers | |
| X | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
IL | Suppliers |
| Street Address |
518 3RD ST |
| City | LA SALLE |
| State | IL |
| Zip Code | 61301-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598912453 | Matthew V Hartman | Dentist | 941 First St, La Salle, IL 61301 | 2008-08-22 |
| 1164501078 | Pamela F Wolf | Counselor | 146 Gooding Street, La Salle, IL 61301 | 2006-11-02 |
| 1265514343 | Rose Mary Schaumberg | Nurse Practitioner | 2970 Chartres Street, Lasalle, IL 61301 | 2006-10-19 |
| 1578668141 | Cynthia L. Ashley | Psychologist | 206 Marquette Street, Suite 203, Lasalle, IL 61301 | 2006-09-14 |
| 1922016849 | Mary Therese Petrella | Nurse Practitioner | 2970 Chartres, Hygienic Institute Community Health Clinic, La Salle, IL 61301 | 2006-08-04 |
| 1073527461 | William L Judge | Chiropractor | 130 3rd St, La Salle, IL 61301 | 2006-07-28 |
| 1124044318 | North Central Behavioral Health Systems, Inc | Clinic/Center | 2960 Chartres St., Lasalle, IL 61301 | 2006-07-14 |
| 1962445247 | William Michael White | Dentist | 225 Gooding St, Suite 1, La Salle, IL 61301 | 2006-06-14 |
| 1730629429 | Liberty Kathleen Grzybowski | Social Worker | 2960 Chartres St., La Salle, IL 61301 | 2017-03-01 |
| 1619267135 | Gergovich Family Chiropractic, LLC. | Chiropractor | 130 3rd St, La Salle, IL 61301 | 2011-04-18 |
| Find all providers in zip 61301 | ||||
| Taxonomy Code | 332BP3500X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Parenteral & Enteral Nutrition |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033687843 | Nu-atrics: Pediatric Nutrition & Wellness LLC | Durable Medical Equipment & Medical Supplies | 211 W Willow St, Fairbury, IL 61739-1172 | 2018-11-09 |
| 1437668076 | Superior Rehabmed Supplies Inc | Durable Medical Equipment & Medical Supplies | 303 E Army Trail Rd Ste 204, Bloomingdale, IL 60108-2143 | 2017-09-27 |
| 1700242971 | Advance Surgical Instruments Inc | Durable Medical Equipment & Medical Supplies | 3350 S Kedzie Ave, Suite 1 B, Chicago, IL 60623-5114 | 2016-01-04 |
| 1619332053 | Pharmascript Inc | Durable Medical Equipment & Medical Supplies | 5437 N Broadway St, Chicago, IL 60640 | 2015-12-30 |
| 1306201868 | Ammon Johnson | Durable Medical Equipment & Medical Supplies | 6831 S Dante Ave, Chicago, IL 60637-4830 | 2015-12-28 |
| 1164775664 | Activstyle, Inc | Durable Medical Equipment & Medical Supplies | 9245 S Ashland Ave, Chicago, IL 60620-5051 | 2012-10-22 |
| 1891094397 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 3453 Rupp Pkwy, Decatur, IL 62526-2124 | 2011-03-23 |
| 1639405954 | Option Care Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 2050 S Finley Rd Ste 20, Lombard, IL 60148-4837 | 2009-10-21 |
| 1720251416 | Maycare Medical LLC | Durable Medical Equipment & Medical Supplies | 3505 Howard St, Skokie, IL 60076-4012 | 2008-04-02 |
| 1518146893 | Apria Healthcare Inc | Durable Medical Equipment & Medical Supplies | 1500 E Lincoln Hwy #5, Dekalb, IL 60115 | 2007-11-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on VALLEY REGIONAL MEDICAL SUPPLY.
| 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.