NPI 1043364490 MOUNTAIN VALLEY RX 05 INC DANDRIDGE TN. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mountain Valley Rx 05 Inc - NPI: 1043364490

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: MOUNTAIN VALLEY RX 05 INC
NPI Number: 1043364490
Entity Type Code: Organizational (2)
Authorized Official Name: BEAU KISABETH
(MANAGER)
Mailing Address: 153 E Broadway Blvd Ste 103
Jefferson City
State: TN US
Postal Code: 377602517
Phone Number: 8654715111
Fax Number: 8654715199
NPI Enumeration Date: 01/23/2007
NPI Last Update Date: 03/30/2010
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 332B00000X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
N
State:
Taxonomy Type: Suppliers
Taxonomy Classification: Durable Medical Equipment & Medical Supplies
Taxonomy Specialization:
Taxonomy Definition:
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient


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