MEDLEY VITAL CARE INFUSION INC. NPI 1578671509

NPI Information

NPI: 1578671509
Provider Name: MEDLEY VITAL CARE INFUSION, INC.

Doing Business As: MEDLEY VITAL CARE INFUSION

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
601 EAST HWY 28
OWENSVILLE, MO
ZIP 65066
Phone: (573) 437-3440
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MEDLEY VITAL CARE INFUSION, INC. is a durable medical equipment medical supplies in Owensville, MO. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MEDLEY VITAL CARE INFUSION, INC. NPI is 1578671509. The provider is registered as an organization entity type.
The provider Is Doing Business As Medley Vital Care Infusion.

The provider's business location address is:

601 EAST HWY 28
OWENSVILLE, MO
ZIP 65066
Phone: (573) 437-3440
Fax: (573) 437-4963

The provider's authorized official is Sandra Mitchell .
The authorized official title is Manager and has the following contact phone number (573) 437-3440.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 3/5/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	005817	MISSOURI	No
2	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	005817	MISSOURI	No
3	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	005817	MISSOURI	No
4	333600000X	Pharmacy		005817	MISSOURI	No
5	3336C0003X	Pharmacy	Community/Retail Pharmacy	005817	MISSOURI	No
6	3336H0001X	Pharmacy	Home Infusion Therapy Pharmacy	005817	MISSOURI	No
7	3336L0003X	Pharmacy	Long Term Care Pharmacy	005817	MISSOURI	No
8	3336M0002X	Pharmacy	Mail Order Pharmacy	005817	MISSOURI	No
9	3336S0011X	Pharmacy	Specialty Pharmacy	005817	MISSOURI	No
10	332B00000X	Durable Medical Equipment & Medical Supplies		005817	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier Issuer
1	000049003	MEDICARE ID-TYPE UNSPECIFIED	LOCAL PART B
2	0722170001	MEDICARE NSC
3	29836	OTHER	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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