VALLEY REGIONAL MEDICAL SUPPLY NPI 1770680803

NPI Information

NPI: 1770680803
Provider Name: VALLEY REGIONAL MEDICAL SUPPLY
Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
Entity Type: Organization

Specialization: Parenteral & Enteral Nutrition

Address:
518 3RD ST
LA SALLE, IL
ZIP 61301
Phone: (815) 223-4422
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VALLEY REGIONAL MEDICAL SUPPLY is a parenteral and enteral nutrition durable medical equipment medical supplies in La Salle, IL. VALLEY REGIONAL MEDICAL SUPPLY NPI is 1770680803. The provider is registered as an organization entity type.

The provider's business location address is:

518 3RD ST
LA SALLE, IL
ZIP 61301-402
Phone: (815) 223-4422
Fax: (815) 223-4429

The provider's authorized official is Rachel A. Condron .
The authorized official title is President and has the following contact phone number (815) 223-4422.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 8/22/2020.

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	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition		ILLINOIS	Yes
2	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies		ILLINOIS	X

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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