VALLEY MEDICAL SUPPLY NPI 1881787612

NPI Information

NPI: 1881787612
Provider Name: VALLEY MEDICAL SUPPLY
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address: 546 N MAIN ST
WASILLA, AK
ZIP 99654
Phone: (907) 373-1014

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NPI Details

VALLEY MEDICAL SUPPLY is a durable medical equipment medical supplies in Wasilla, AK. 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. VALLEY MEDICAL SUPPLY NPI is 1881787612. The provider is registered as an organization entity type.

The provider's business location address is:

546 N MAIN ST
WASILLA, AK
ZIP 99654-019
Phone: (907) 373-1014
Fax: (907) 357-1424

The provider's authorized official is Glenna G. Edwards .
The authorized official title is Owner / Fitter and has the following contact phone number (907) 373-1014.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 8/4/2008.

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	332B00000X	Durable Medical Equipment & Medical Supplies		200280	ALASKA	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 State	Other Provider Identifier Issuer
1	MS2280	MEDICAID	ALASKA
2	=========	OTHER	ALASKA	INSURANCE (PRIVATE) I.D.
3	PO2280	MEDICAID	ALASKA
4	1017010001	MEDICARE ID-TYPE UNSPECIFIED	ALASKA	PROVIDER I.D. NUMBER

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: 11/21/2025

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