Organization Name: | CEDAR VALLEY MEDICAL SPECIALISTS PC |
NPI Number: | 1437104106 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GILMORE JOHN IREY (CEO) |
Mailing Address: | 405 Highway 150 N West Union |
State: | IA US |
Postal Code: | 521750516 |
Phone Number: | 5634225734 |
Fax Number: | 5634225830 |
NPI Enumeration Date: | 05/23/2006 |
NPI Last Update Date: | 11/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |