VALLEY MEDICAL SHOPPE INC (NPI# 1902853096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902853096 |
| Entity Type | Organization |
| Organization Name | VALLEY MEDICAL SHOPPE INC |
| Practice Address |
1350 Parkway Dr Ste 26 Blackfoot ID 83221-1657 |
| Mailing Address |
146 N 2nd E Rexburg ID 83440-1620 |
| Practice Telephone | 2087820456 |
| Practice Fax Number | 2087820457 |
| Mailing Telephone | 2083567913 |
| Mailing Fax Number | 2083569532 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2009-09-10 |
| Authorized Official Name | MR. GARY W AIMAN (OWNER) |
| Authorized Official Telephone | 2083567913 |
| Is Organization Subpart | Y |
| Parent Organization Name | VALLEY MEDICAL SHOPPE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
DME244 | ID | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215977384 | Valley Medical Shoppe Inc | Durable Medical Equipment & Medical Supplies | 3908 Washington Parkway, Idaho Falls, ID 83404 | 2006-06-07 |
| 1063469187 | Valley Medical Shoppe Inc | Durable Medical Equipment & Medical Supplies | 146 N 2nd E, Rexburg, ID 83440-1620 | 2006-05-27 |
| Street Address |
1350 PARKWAY DR STE 26 |
| City | BLACKFOOT |
| State | ID |
| Zip Code | 83221-1657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962895888 | Brian Robert Johnson | Nurse Practitioner | 1350 Parkway Dr, Blackfoot, ID 83221-1657 | 2015-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711165 | Samantha Paige Averett | Social Worker | 60 N Broadway, Blackfoot, ID 83221 | 2020-08-19 |
| 1730711656 | Sara Marie Letham | Family Medicine | 33 S Thompson Lane, Blackfoot, ID 83221 | 2020-02-08 |
| 1962994962 | Tyler Thomas Wood | Student in an Organized Health Care Education/Training Program | 98 Poplar Street, Blackfoot, Id 83221, Blackfoot, ID 83221 | 2018-06-05 |
| 1801336276 | Bmh, Inc. | Internal Medicine | 235 Poplar St, Blackfoot, ID 83221 | 2017-03-03 |
| 1497119804 | Susan Doran | Social Worker | 720 E. Alice, Blackfoot, ID 83221 | 2016-04-12 |
| 1427412121 | Josie Russell Adkins | Counselor | 720 East Alice, Blackfoot, ID 83221 | 2016-04-08 |
| 1740590314 | Ashley Nichole Thomas | Physician Assistant | 710 E. Alice Street, Blackfoot, ID 83221 | 2010-10-18 |
| 1528373313 | Stephanie Lynn Henderson | Dietitian, Registered | 1555 Vernon Ave, Blackfoot, ID 83221 | 2010-08-17 |
| 1184850141 | Joy H. Taylor | Nurse Practitioner | 1441 Parkway Drive, Blackfoot, ID 83221 | 2009-06-04 |
| 1427232925 | Nathan E. Sneddon | Anesthesiology | 98 Poplar St Fl 3, Blackfoot, ID 83221 | 2007-12-20 |
| Find all providers in zip 83221 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
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| 1619526811 | Red Rock Medical Supply | Durable Medical Equipment & Medical Supplies | 1994 E Franklin Rd Ste 120, Meridian, ID 83642-5975 | 2019-09-10 |
| 1851677827 | The Hospice Store and Supplies | Durable Medical Equipment & Medical Supplies | 134 N 3966 E, Address 2, Rigby, ID 83442-5772 | 2011-10-22 |
| 1811206576 | Bennett Medical Services | Durable Medical Equipment & Medical Supplies | 5220 Sawyer Court, Suite D, Garden City, ID 83714 | 2010-09-29 |
| 1639407760 | Cpapnow, Inc. | Durable Medical Equipment & Medical Supplies | 1616 E Plaza Loop, Nampa, ID 83687-4931 | 2009-12-01 |
| 1326375908 | Braden Partners Lp | Durable Medical Equipment & Medical Supplies | 143 N State St Ste 5, Rigby, ID 83442-4956 | 2009-11-03 |
| 1740410380 | Sun Valley Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 21 E Maple St Ste B, Hailey, ID 83333-4900 | 2009-07-16 |
| 1043448400 | Idaho Home Health & Hospice | Durable Medical Equipment & Medical Supplies | 423 Idaho St, Gooding, ID 83330-1258 | 2009-06-24 |
| 1982844866 | Valley Medical LLC | Durable Medical Equipment & Medical Supplies | 2065 E. Fairview Ave., Meridian, ID 83642-5798 | 2009-03-04 |
| 1982879789 | Frontier Leasing Lmtd Par | Durable Medical Equipment & Medical Supplies | 353 N. 4th Avenue, Ste 205, Pocatello, ID 83201-6392 | 2008-04-23 |
| Find all providers with the same taxonomy | ||||
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| 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.