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Contact Information

STAR VALLEY MEDICAL
180 NORTH MAIN ST
THAYNE, WY83127-9999
 Phone: 307-883-3445
 Fax: 307-883-3472
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for STAR VALLEY MEDICAL

NPI # 1588688006
LBN Legal business name STAR VALLEY MEDICAL
Authorized official SUSAN OLSON-MILLER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/27/2006
Last updated 05/28/2008 - About 18 years ago
Identifiers
WY Medicaid 114866400
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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