Organization Active NPI

Mid-Valley Medical Equipment Inc

  • Durable Medical Equipment & Medical Supplies
  • Wyoming, PA
National Provider Identifier
1669469797
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MID-VALLEY MEDICAL EQUIPMENT INC
Practice address
12 E 6TH St
Wyoming, PA 18644-2028
Phone
(570) 609-5385
Fax
(570) 609-5387
NPI assigned
Oct 4, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Carlton E Houck
Title
President
Phone
(570) 609-5385

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

12 E 6TH St
Wyoming, PA 18644-2028

Mailing address

12 E 6TH St
Wyoming, PA 18644-2028
Phone (570) 609-5385

Other identifiers 3

IdentifierTypeStateIssuer
434648OtherPABLACK LUNG
0012629850003MedicaidPA
218286OtherPABLUE CROSS

Other names 1

  • HHK Medical Associates Former legal business name

National Provider Directory

National Provider Directory

Locations

12 E 6th St
Wyoming, PA 18644
Phone (570) 609-5385

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419984000000",
    "number": "1669469797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 E 6TH ST",
            "city": "WYOMING",
            "state": "PA",
            "postal_code": "186442028",
            "telephone_number": "570-609-5385",
            "fax_number": "570-609-5387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E 6TH ST",
            "city": "WYOMING",
            "state": "PA",
            "postal_code": "186442028",
            "telephone_number": "570-609-5385",
            "fax_number": "570-609-5387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-VALLEY MEDICAL EQUIPMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2014-12-31",
        "status": "A",
        "authorized_official_last_name": "HOUCK",
        "authorized_official_first_name": "CARLTON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-609-5385",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "434648",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012629850003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "218286",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HHK Medical Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Wyoming, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.