Active NPI
Mid-Valley Medical Equipment Inc
- Durable Medical Equipment & Medical Supplies
- Wyoming, PA
National Provider Identifier
1669469797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 434648 | Other | PA | BLACK LUNG |
| 0012629850003 | Medicaid | PA | |
| 218286 | Other | PA | BLUE CROSS |
Other names 1
- HHK Medical Associates
National Provider Directory
National Provider DirectoryLocations
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.