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Contact Information

STAR VALLEY MEDICAL SUPPLY LLC
32 EAST 4TH AVE
AFTON, WY83110-1676
 Phone: 307-885-0005
 Fax: 307-885-0045
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
Indicates primary specialty

NPI Profile & details for STAR VALLEY MEDICAL SUPPLY LLC

NPI Number 1740521335
LBN Legal business name STAR VALLEY MEDICAL SUPPLY LLC
Authorized official REBECCA ERICKSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/07/2013
Last updated 04/12/2021 - About 5 years ago
Identifiers
WY Medicaid B08077831
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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